Individual provider Active NPI

John E Nawalanic, CRNA, MS

  • Certified Registered Nurse Anesthetist
  • Sunrise, FL
National Provider Identifier
1912949249
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP 1837262 Issued in FL
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

Updated by the provider on Sep 23, 2010

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 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

IdentifierTypeStateIssuer
033633500MedicaidFL

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

LicenseStateTypeSpecialty
ARNP 1837262FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Anesthesiologist Group PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Timeframe, Inc. Nurse Anesthetist, Certified Registered PastSince Jan 11, 1980 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.

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.

Verify at the official NPI Registry.