Active NPI
Brittane Squires
- Critical Care Medicine Registered Nurse
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 9533369
- Practice address
- 10501 Fgcu Blvd S
Fort Myers, FL 33965-6502 - Phone
- (239) 590-7505
- NPI assigned
- Jun 12, 2022
- Last updated
- Dec 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024187447 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Critical Care Medicine Registered Nurse | 163WC0200X | 9533369 | FL | Primary |
Addresses
Primary practice location
10501 Fgcu Blvd S
Fort Myers, FL 33965-6502
Mailing address
9885 Stella Palm Way Unit 403
Fort Myers, FL 33966-6608
Phone (561) 866-4335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8700 Sudley Rd
Manassas, VA 20110-4418
Phone 70636980008226
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9533369 | FL | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia, PC | Single Specialty | Current | Accepting new patients |
| American Anesthesiology of Virginia PC | Single Specialty | Current | Accepting new patients |
Locations
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
Single Specialty
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UVA Health Haymarket Medical Center
- General Acute Care Hospital
- Haymarket, VA
- NPI 1124369137
-
dba UVA Health Prince William Medical Center
- General Acute Care Hospital
- Manassas, VA
- NPI 1417005760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1841920006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9885 STELLA PALM WAY UNIT 403",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339666608",
"telephone_number": "561-866-4335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10501 FGCU BLVD S",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339656502",
"telephone_number": "239-590-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SQUIRES",
"first_name": "BRITTANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-12",
"last_updated": "2023-12-28",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024187447",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "FL",
"license": "9533369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
- Charles Springer, MD
- Jennifer Springer, MD
- Sprout Behavior Consultants, LLC
- Sprout Therapy Solutions LLC (Coastal Clinic)
- Jennifer Jo Squire, OTR/L
- Sri at Health Park, LLC (Superior Residences at Health Park)
- SS Lee II Community HC LLC (Winkler Court)
- St John's Anesthesia Services (St John's Anesthesia Services, LLC)
- St Marks Surgical Center LLC
- Annette M St Pierre-Mackoul, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.