Individual provider Active NPI

Ronda S Emory, CRNA

  • Certified Registered Nurse Anesthetist
  • St Petersburg, FL
National Provider Identifier
1891021846
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28109860A Issued in IN
Practice address
1200 7TH Ave North
St. Petersburg, FL 33705-1300
Phone
(727) 825-1100
Fax
(727) 573-7710
NPI assigned
Oct 27, 2009
Last updated
Jan 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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 28109860A IN Primary

Addresses

Primary practice location

1200 7TH Ave North
St. Petersburg, FL 33705-1300

Mailing address

1901 Ulmerton Rd
Suite 450
Clearwater, FL 33762-2300
Phone (727) 573-7777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211119001872 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 2062540826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ecgj Anesthesia LLCGroup PAC ID 9133364466, 8 clinicians
Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians

Practice addresses (Care Compare)

1035 Wellington Ave
Grand Junction, CO 81501-8104
Phone (970) 242-6600

607 28
Grand Junction, CO 81506-6018
Phone (970) 243-3300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28109860AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Group, LLC Current Accepting new patients
Community Medical Group, LLC CurrentSince Feb 1, 2025 Accepting new patients
Ecgj Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 9, 2021 Accepting new patients
Community Medical Group, LLC CurrentSince Feb 1, 2025 Accepting new patients
Community Medical Group, LLC Past Accepting new patients
Clearwater Pain Management Associates Past Accepting new patients

Locations

1035 Wellington Ave
Grand Junction, CO 81501
Phone (970) 242-6600

2373 G Rd
Ste 160
Grand Junction, CO 81505
Phone (970) 263-2680

2373 G Rd
Ste 180
Grand Junction, CO 81505
Phone (970) 773-2350

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1891021846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 ULMERTON RD",
            "address_2": "SUITE 450",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337622300",
            "telephone_number": "727-573-7777",
            "fax_number": "727-573-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 7TH AVE NORTH",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337051300",
            "telephone_number": "727-825-1100",
            "fax_number": "727-573-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMORY",
        "first_name": "RONDA",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28109860A",
            "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 Jan 3, 2017; 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.