Individual provider Active NPI

Elizabeth Whitaker

  • Certified Registered Nurse Anesthetist
  • Pembroke Pines, FL
National Provider Identifier
1932760576
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
126871 Issued in FL
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

Updated by the provider on Jun 25, 2019

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 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

TypeEndpointUseAffiliation
Direct Messaging Address lisa14356@hotmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191105003122 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153653480 Reassigns benefits to 4 organizations

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
Nova Medical Services - Anesthesiology Division LLCGroup PAC ID 4284156613, 62 clinicians
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

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 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
126871FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Galloway Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 13, 2024 Accepting new patients
Galloway Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 13, 2024 Accepting new patients
Palmetto Anesthesia Specialists LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 12, 2019 Accepting new patients
University of Miami Current Accepting new patients
Nova Medical Services - Anesthesiology Division LLC CurrentSince Feb 18, 2025 Accepting new patients
University of Miami Nurse Anesthetist, Certified Registered CurrentSince Jul 27, 2024 Accepting new patients
University of Miami CurrentSince Jul 27, 2024 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

  • Direct secure messaging: 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.

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

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.

Verify at the official NPI Registry.