Individual provider Active NPI

Jo Ellen Bennett, CRNA

  • Certified Registered Nurse Anesthetist
  • Tallahassee, FL
National Provider Identifier
1811970114
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP2604452 Issued in FL
Practice address
2173A Centerville PL
Tallahassee, FL 32308-4356
Phone
(850) 385-0144
Fax
(850) 385-0146
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP2604452 FL Primary

Addresses

Primary practice location

2173A Centerville PL
Tallahassee, FL 32308-4356

Mailing address

PO Box 452198
Sunrise, FL 33345-2198
Phone (954) 838-2371

Other identifiers 1

IdentifierTypeStateIssuer
G2471OtherFLBCBS OF FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091016000239 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002818119 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP2604452FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Florida Anesthesiologists, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 2, 2020 Accepting new patients
Galloway Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2018 Accepting new patients
Greater Florida Anesthesiologists, LLC CurrentSince Mar 2, 2020 Accepting new patients
Greater Florida Anesthesiologists, LLC Current Accepting new patients
Gastroenterology Specialist Inc CurrentSince Apr 26, 2017 Accepting new patients
Galloway Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2018 Accepting new patients
Cape Cod Anesthesia Associates, Inc. Past Accepting new patients
Anesthesiology Associates of Tallahassee Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesiology Associates of Tallahassee Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Associates P.a. Past Accepting new patients
Wolverine Anesthesia Consultants, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

3355 Burns Rd
Ste 306
West Palm Beach, FL 33410
Phone (561) 630-8775

1117 N Olive Ave
Ste 201
West Palm Beach, FL 33401
Phone (561) 327-7492

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1811970114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452198",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333452198",
            "telephone_number": "954-838-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2173A CENTERVILLE PL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084356",
            "telephone_number": "850-385-0144",
            "fax_number": "850-385-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JO",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2604452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "G2471",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.