Active NPI
Kevin Joseph Greenwood, CRNA
- Certified Registered Nurse Anesthetist
- Trinity, FL
National Provider Identifier
1811977085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP 1633502
- Practice address
- 9540 Venturi Dr
Trinity, FL 34655-4645 - Phone
- (727) 460-1767
- NPI assigned
- Jan 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP 1633502 | FL | Primary |
Addresses
Primary practice location
9540 Venturi Dr
Trinity, FL 34655-4645
Mailing address
9540 Venturi Dr
Trinity, FL 34655-4645
Phone (727) 460-1767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 1633502 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Cataract & Laser Institute | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| St Lukes Surgical Center Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Tarpon Springs, FL
- NPI 1154316628
Nurse Anesthetist, Certified Registered
-
- Ophthalmology Physician
- Tarpon Springs, FL
- NPI 1508890476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1811977085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9540 VENTURI DR",
"city": "TRINITY",
"state": "FL",
"postal_code": "346554645",
"telephone_number": "727-460-1767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9540 VENTURI DR",
"city": "TRINITY",
"state": "FL",
"postal_code": "346554645",
"telephone_number": "727-460-1767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWOOD",
"first_name": "KEVIN",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-22",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP 1633502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.