Individual provider Active NPI

Larry Alan Todd, CRNA

  • Certified Registered Nurse Anesthetist
  • St Petersburg, FL
National Provider Identifier
1871537647
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9401374 Issued in FL
Practice address
701 6TH St S
St Petersburg, FL 33701
Phone
(727) 893-6297
NPI assigned
Jun 15, 2006
Last updated
Apr 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 761027 TX
Certified Registered Nurse Anesthetist 367500000X A810281 MS
Certified Registered Nurse Anesthetist 367500000X 60164 SC
Certified Registered Nurse Anesthetist 367500000X APRN9401374 FL Primary

Addresses

Primary practice location

701 6TH St S
St Petersburg, FL 33701

Mailing address

5914 Flatwoods Manor Cir
Lithia, FL 33547-5000
Phone (228) 243-1035

Other practice location 1

301 Fisher St
Keesler AFB, MS 39534-2508
Phone (228) 376-5346

Other practice location 2

301 Fisher St
Keesler AFB, MS 39534-2508
Phone (228) 376-5346

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151007003050 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436044468 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Office Anesthesia StaffingGroup PAC ID 6901285709, 62 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

1325 Belcher Rd
Palm Harbor, FL 34683-6739
Phone (816) 500-0021

3650 NW 82ND Ave
101 The Surgery Center at Doral
Doral, FL 33166-6662
Phone (305) 341-7280

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9401374FLMDCertified Registered Nurse Anesthetist
A810281MSMDCertified Registered Nurse Anesthetist
60164SCMDCertified Registered Nurse Anesthetist
761027TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 17, 2024 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2024 Accepting new patients
American Anesthesiology Services of Florida, Inc. CurrentSince Jun 1, 2019 Accepting new patients
Capital Anesthesia Solutions of Florida II, LLC CurrentSince Oct 1, 2022 Accepting new patients
Office Anesthesia Staffing Nurse Anesthetist, Certified Registered CurrentSince Dec 16, 2024 Accepting new patients
SGF Tampa Bay LLC Past Accepting new patients
Anesthesia Dynamics LLC Past Accepting new patients
Anesthesiology Services Network LTD Past Accepting new patients

Locations

1917 Worth Ct
Bradenton, FL 34211
Phone (866) 747-0391

8000 State Road 64 E
Ste 205
Bradenton, FL 34212
Phone (727) 203-5114

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 322-5600

1109 US Highway 19
Holiday, FL 34691
Phone (727) 934-5705

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

120 E Par St
Ste 2000
Orlando, FL 32804
Phone (407) 843-5665

1325 Belcher Rd
Palm Harbor, FL 34683
Phone (816) 500-0021

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

5741 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 342-1303

960 7th Ave N
St Petersburg, FL 33705
Phone (727) 821-8101

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

Interoperability endpoints

  • Direct secure messaging: ltodd188883@orlandohealth.medalliesdirect.net

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1871537647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5914 FLATWOODS MANOR CIR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335475000",
            "telephone_number": "228-243-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33701",
            "telephone_number": "727-893-6297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Fisher St",
            "address_purpose": "LOCATION",
            "city": "Keesler AFB",
            "state": "MS",
            "postal_code": "395342508",
            "country_code": "US",
            "telephone_number": "228-376-5346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Fisher St",
            "address_purpose": "LOCATION",
            "city": "Keesler AFB",
            "state": "MS",
            "postal_code": "395342508",
            "country_code": "US",
            "telephone_number": "228-376-5346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODD",
        "first_name": "LARRY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "761027",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "A810281",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "60164",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9401374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.