Trakmd Anesthesia

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

TRAKMD ANESTHESIA

Practice address

4367 NW American LN
Lake City, FL 32055-4828

Phone

(214) 390-7697

Fax

(972) 432-6692

NPI assigned

Jul 15, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rizwana Thanawala

Title

Admin

Phone

(214) 390-7697

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1811569155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 RIDGEVIEW DR STE 140-274",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135542",
            "telephone_number": "214-390-7697",
            "fax_number": "972-432-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4367 NW AMERICAN LN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554828",
            "telephone_number": "214-390-7697",
            "fax_number": "972-432-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAKMD ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "THANAWALA",
        "authorized_official_first_name": "RIZWANA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "214-390-7697"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lake City, FL
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.