Active NPI
Elizabeth Whitaker
- Certified Registered Nurse Anesthetist
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 126871
- Practice address
- 12040 NW 15TH CT
Pembroke Pines, FL 33026-2598 - Phone
- (786) 543-4903
- NPI assigned
- Jun 25, 2019
- Sex
- Female
- 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 | 126871 | FL | Primary |
Addresses
Primary practice location
12040 NW 15TH CT
Pembroke Pines, FL 33026-2598
Mailing address
12040 NW 15TH CT
Pembroke Pines, FL 33026-2598
Phone (786) 543-4903
Other practice location 1
12040 NW 15th Ct
Pembroke Pines, FL 33026-2598
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lisa14356@hotmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
135 W 49TH St
Hialeah, FL 33012-3711
Phone (305) 468-4185
8260 W Flagler St
Suite 1a
Miami, FL 33144-2069
Phone (786) 715-9183
8375 NW 53Rd Terr
Doral, FL 33166-4851
Phone (305) 689-8375
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.93 of 100
- Quality
- 78.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126871 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galloway Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Galloway Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Palmetto Anesthesia Specialists LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Miami | Current | Accepting new patients | |
| Nova Medical Services - Anesthesiology Division LLC | Current | Accepting new patients | |
| University of Miami | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Miami | Current | Accepting new patients |
Locations
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
135 W 49th St
Hialeah, FL 33012
Phone (305) 825-0500
7261 Sheridan St
Ste 349
Hollywood, FL 33024
7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750
1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006
11420 N Kendall Dr
Ste 206
Miami, FL 33176
Phone (786) 715-9183
9415 SW 72nd St
Ste 274
Miami, FL 33173
Phone (305) 468-4184
8375 NW 53rd Ter
Miami, FL 33166
Phone (305) 243-6725
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- ewhitaker143984@direct.med.miami.edu
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Miami, FL
- NPI 1689989139
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Miami, FL
- NPI 1245043835
-
dba Pelican Anesthesia
- Certified Registered Nurse Anesthetist
- Coral Gables, FL
- NPI 1720386402
-
- Certified Registered Nurse Anesthetist
- Palm Beach Gardens, FL
- NPI 1316626450
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Hialeah, FL
- NPI 1235434275
Nurse Anesthetist, Certified Registered
-
dba UMiami Medicine Multi Specialty Services
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
-
dba UMiami Medicine Anesthesia Services
- Certified Registered Nurse Anesthetist
- Miami, FL
- NPI 1760431894
Nurse Anesthetist, Certified Registered
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": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1932760576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12040 NW 15TH CT",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330262598",
"telephone_number": "786-543-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12040 NW 15TH CT",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330262598",
"telephone_number": "786-543-4903"
}
],
"practiceLocations": [
{
"address_1": "12040 NW 15th Ct",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330262598",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITAKER",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "126871",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lisa14356@hotmail.com",
"affiliation": "N",
"address_1": "12040 NW 15th Ct",
"city": "Pembroke Pines",
"state": "FL",
"country_code": "US",
"postal_code": "330262598",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pembroke Pines, FL
- West Kendall Pulmonary Services, Inc.
- West Pines Health Center, PA
- West Pines Modern Dentistry, PA (West Pines Modern Dentistry)
- West Psychiatric Associates P a
- Jazmene Whiley
- Donna Michelle White
- Tracey Vanessa White, OTR/L
- Brianna Alethea Whitehead, DNP, APRN, FNP-BC
- Ann Marie Whitehouse, PSY.D.
- Carly Paige Whittaker, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.