Individual provider Active NPI

Christine Theophilopoulos, CRNA

  • Certified Registered Nurse Anesthetist
  • Tampa, FL
National Provider Identifier
1821181793
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP2520532 Issued in FL
Practice address
7171 N Dale Mabry Hwy
Tampa, FL 33614-2630
Phone
(352) 867-8898
Fax
(352) 732-6282
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 ARNP2520532 FL Primary

Addresses

Primary practice location

7171 N Dale Mabry Hwy
Tampa, FL 33614-2630

Mailing address

PO Box 862810
Orlando, FL 32886-2810
Phone (352) 867-8898

Other identifiers 2

IdentifierTypeStateIssuer
G1900OtherFLBLUE CROSS BLUE SHIELD
P00029750OtherFLRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080624000345 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941371694 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
North Pinellas Anesthesia Associates, PA Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2008 Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2003 Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2003 Accepting new patients

Locations

3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800

5415 Gulf Dr
New Pt Richey, FL 34652
Phone (727) 848-0446

7171 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 558-8001

1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000

9332 State Road 54
Ste 400
Trinity, FL 34655
Phone (727) 372-4779

1350 E Venice Ave
Venice, FL 34285
Phone (941) 445-5054

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821181793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 862810",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328862810",
            "telephone_number": "352-867-8898",
            "fax_number": "352-732-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142630",
            "telephone_number": "352-867-8898",
            "fax_number": "352-732-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEOPHILOPOULOS",
        "first_name": "CHRISTINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2520532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "G1900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00029750",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.