Individual provider Active NPI

Loren Krumbholz, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
National Provider Identifier
1841614401
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9265771 Issued in FL
Practice address
1500 Ricardo Ave
Fort Myers, FL 33901-6845
Phone
(239) 443-8070
NPI assigned
Feb 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 9265771 FL
Certified Registered Nurse Anesthetist 367500000X APRN9265771 FL Primary

Addresses

Primary practice location

1500 Ricardo Ave
Fort Myers, FL 33901-6845

Mailing address

1500 Ricardo Ave
Fort Myers, FL 33901-6845
Phone (239) 443-8070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140523000466 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961625736 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 9265771FLMDRegistered Nurse
APRN9265771FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 20, 2024 Accepting new patients
Care Anesthesia Specialists Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 19, 2024 Accepting new patients

Locations

13051 University Dr
Ste 102
Fort Myers, FL 33907
Phone (239) 590-6111

63 Barkley Cir
Ste 104
Fort Myers, FL 33907
Phone (239) 275-8452

18350 Murdock Cir
Unit 102
Pt Charlotte, FL 33948
Phone (941) 206-7251

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1841614401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 RICARDO AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339016845",
            "telephone_number": "239-443-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 RICARDO AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339016845",
            "telephone_number": "239-443-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMBHOLZ",
        "first_name": "LOREN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN 9265771",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9265771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.