Active NPI
Tammy Lynn Sarab, CRNA
- Certified Registered Nurse Anesthetist
- Jacksonville, FL
National Provider Identifier
1821079054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP3339662
- Practice address
- 14510 Marsh View Dr
Jacksonville, FL 32250-2059 - Phone
- (904) 859-8007
- NPI assigned
- Nov 5, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP3339662 | FL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 38199 | WV |
Addresses
Primary practice location
14510 Marsh View Dr
Jacksonville, FL 32250-2059
Mailing address
14510 Marsh View Dr
Jacksonville, FL 32250-2059
Phone (904) 859-8007
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3016999 | Other | OH | OHIO MEDICAID |
| 302747300 | Medicaid | FL | |
| 430046651 | Other | FL | RAILROAD MEDICARE |
| G2410 | Other | FL | BLUECROSS/BLUESHIELD |
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 |
|---|---|---|---|
| ARNP3339662 | FL | MD | Certified Registered Nurse Anesthetist |
| 38199 | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Day Surgery Limited Liability | Past | Accepting new patients | |
| Mid-Atlantic Anesthesia Consultants, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Christian L Koppel MD PA | Past | Accepting new patients | |
| Day Surgery Limited Liability | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1457623514
-
- Ambulatory Surgical Clinic/Center
- Charleston, WV
- NPI 1295853885
-
- Ambulatory Surgical Clinic/Center
- Charleston, WV
- NPI 1730296997
-
- Anesthesiology Physician
- Hurricane, WV
- NPI 1144248907
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428019200000",
"number": "1821079054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14510 MARSH VIEW DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322502059",
"telephone_number": "904-859-8007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14510 MARSH VIEW DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322502059",
"telephone_number": "904-859-8007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARAB",
"first_name": "TAMMY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-05",
"last_updated": "2015-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP3339662",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "38199",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAID",
"identifier": "3016999",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "302747300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430046651",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD",
"identifier": "G2410",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.