Individual provider Active NPI

Amanda Marie Defoor, CRNA

  • Certified Registered Nurse Anesthetist
  • Sarasota, FL
National Provider Identifier
1942649918
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9305941 Issued in FL
Practice address
1261 S Tamiami TRL
Sarasota, FL 34239-2219
Phone
(941) 366-2360
NPI assigned
Jun 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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 9305941 FL Primary

Addresses

Primary practice location

1261 S Tamiami TRL
Sarasota, FL 34239-2219

Mailing address

1261 S Tamiami TRL
Sarasota, FL 34239-2219
Phone (941) 366-2360

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130723000421 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810138526 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians

Practice addresses (Care Compare)

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-7760

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9305941FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 24, 2023 Accepting new patients
Florida Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Feinerman Anesthesia PA CurrentSince Jan 1, 2023 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 30, 2019 Accepting new patients
Sunbelt Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Sarasota Ambulatory Surgery Center LTD Current Accepting new patients
Sarasota Anesthesiologists, PA CurrentSince Jun 22, 2013 Accepting new patients
Rasc Anesthesia LLC CurrentSince Apr 3, 2023 Accepting new patients
Sarasota Anesthesia Services LLC CurrentSince Apr 4, 2024 Accepting new patients
Anesthesia Associates of Southwest Florida LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 27, 2017 Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Jan 1, 2023 Accepting new patients
FDHS Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 2, 2023 Accepting new patients
Lakewood Ranch Anesthesia PL Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2016 Accepting new patients
Anesthesia Services of Manatee LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
SMH Physician Services Inc CurrentSince Oct 12, 2023 Accepting new patients
North Tampa Anesthesia Consultants CurrentSince Apr 15, 2023 Accepting new patients
Sunbelt Visiting Primary Care LLC PastSince Jan 1, 2017 Accepting new patients
Vitalmd Group Holding LLC Past Accepting new patients

Locations (25 of 38)

6015 Pointe West Blvd
Ste 101
Bradenton, FL 34209
Phone (941) 782-0101

5817 21st Ave W
Bradenton, FL 34209
Phone (941) 794-0379

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

200 3rd Ave W
Ste 170
Bradenton, FL 34205
Phone (941) 782-5434

6002 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 792-3937

411 2nd St E
Bradenton, FL 34208
Phone (941) 746-1121

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

402 Jeffords St
Clearwater, FL 33756
Phone (423) 505-2653

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

8833 Perimeter Park Blvd
Ste 901
Jacksonville, FL 32216
Phone (904) 240-4777

3599 University Blvd S
Ste 604
Jacksonville, FL 32216
Phone (904) 399-0905

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

2222 S Harbor City Blvd
Ste 540
Melbourne, FL 32901
Phone (321) 541-1776

8500 SW 92nd St
Ste 204
Miami, FL 33156
Phone (305) 270-8944

2600 Laurel Rd E
North Venice, FL 34275
Phone (941) 261-9000

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

204B E 19th St
Panama City, FL 32405
Phone (850) 769-7599

1941 Waldemere St
Sarasota, FL 34239
Phone (941) 366-2360

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

Organizations & group practices 18

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.

View all 18

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": "1371859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1942649918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392219",
            "telephone_number": "941-366-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392219",
            "telephone_number": "941-366-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFOOR",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-22",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9305941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.