Active NPI
John E Nawalanic, CRNA, MS
- Certified Registered Nurse Anesthetist
- Sunrise, FL
National Provider Identifier
1912949249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP 1837262
- Practice address
- 2120 NW 107TH Ter
Sunrise, FL 33322-3418 - Phone
- (954) 741-0636
- Fax
- (954) 741-0639
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP 1837262 | FL | Primary |
Addresses
Primary practice location
2120 NW 107TH Ter
Sunrise, FL 33322-3418
Mailing address
2900 NE 23Rd PL
Pompano Beach, FL 33062-1138
Phone (954) 788-5441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033633500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 1837262 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Anesthesiologist Group PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Timeframe, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Millennium Anesthesia PA | Past | Accepting new patients |
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.
-
- Certified Registered Nurse Anesthetist
- Sunrise, FL
- NPI 1164467080
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Sunrise, FL
- NPI 1285741322
-
- Pain Medicine (Anesthesiology) Physician
- Miami, FL
- NPI 1194925016
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285200000000",
"number": "1912949249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 NE 23RD PL",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330621138",
"telephone_number": "954-788-5441",
"fax_number": "954-788-2591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 NW 107TH TER",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333223418",
"telephone_number": "954-741-0636",
"fax_number": "954-741-0639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAWALANIC",
"first_name": "JOHN",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "CRNA, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2010-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP 1837262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "033633500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.