Individual provider Active NPI

Christina Kerns, CRNA

  • Medical-Surgical Registered Nurse
  • Pembroke Pines, FL
National Provider Identifier
1861763898
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
9166524 Issued in FL
Practice address
2297 NW 72ND Ter
Pembroke Pines, FL 33024-1043
Phone
(954) 987-8050
NPI assigned
Jan 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 9166524 FL Primary

Addresses

Primary practice location

2297 NW 72ND Ter
Pembroke Pines, FL 33024-1043

Mailing address

2297 NW 72ND Ter
Pembroke Pines, FL 33024-1043
Phone (954) 987-8050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120502000404 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436311792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lucie Anesthesia Associates LLCGroup PAC ID 4284792706, 79 clinicians

Practice addresses (Care Compare)

5301 N Dixie Hwy
Suite 100
Oakland Park, FL 33334-3447
Phone (954) 939-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9166524FLMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St Lucie Anesthesia Associates LLC CurrentSince Nov 10, 2015 Accepting new patients
South Florida Anesthesia & Pain Treatment, P.a. CurrentSince Jan 1, 2013 Accepting new patients
St. Lucie Anesthesia Associates, LLC CurrentSince Nov 10, 2015 Accepting new patients

Locations

501 Glades Rd
Boca Raton, FL 33432
Phone (561) 362-4400

3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868

4675 Linton Blvd
Delray Beach, FL 33445
Phone (561) 381-4305

3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

16853 NE 2nd Ave
Ste 400
North Miami Beach, FL 33162
Phone (305) 652-2999

5301 N Dixie Hwy
Ste 100
Oakland Park, FL 33334
Phone (954) 771-3334

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

Organizations & group practices 3

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": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1861763898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2297 NW 72ND TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330241043",
            "telephone_number": "954-987-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2297 NW 72ND TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330241043",
            "telephone_number": "954-987-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNS",
        "first_name": "CHRISTINA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "FL",
            "license": "9166524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.

Verify at the official NPI Registry.