Active NPI
Theresa L Bruno, CRNA
- Certified Registered Nurse Anesthetist
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP1631102
- Practice address
- 5301 Tallowood Way
Naples, FL 34116-5029 - Phone
- (239) 530-2580
- NPI assigned
- Nov 8, 2005
- Sex
- Female
- Sole proprietor
- No
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 | ARNP1631102 | FL | Primary |
Addresses
Primary practice location
5301 Tallowood Way
Naples, FL 34116-5029
Mailing address
5301 Tallowood Way
Naples, FL 34116-5029
Phone (239) 530-2580
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G2138 | Other | BC/BS | |
| 305229000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles (8 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| WM Darrell Gaskins LLC | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| First Anesthesia Associates Inc | Past | Accepting new patients | |
| Anesthesia & Pain Consultants of SW FL | Past | Accepting new patients | |
| Outpatient Anesthesia of Southwest Florida Inc | Past | Accepting new patients | |
| Anesthesia Management Services for Southwest Florida PA | Past | Accepting new patients | |
| Collier Anesthesia PA | Past | Accepting new patients |
Locations
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
63 Barkley Cir
Ste 103
Fort Myers, FL 33907
Phone (239) 275-8882
4035 Evans Ave
Fort Myers, FL 33901
Phone (941) 939-4937
63 Barkley Cir
Ste 104
Fort Myers, FL 33907
Phone (239) 275-8452
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
2335 Tamiami Trl N
Ste 304
Naples, FL 34103
Phone (239) 263-7750
1084 Goodlette Rd
Naples, FL 34102
Phone (239) 435-9330
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1962926568
Nurse Anesthetist, Certified Registered
-
- Ophthalmology Physician
- Naples, FL
- NPI 1457400327
-
- Specialist
- Fort Myers, FL
- NPI 1609843275
-
- Anesthesiology Physician
- Marco Island, FL
- NPI 1346494325
-
- Anesthesiology Physician
- Naples, FL
- NPI 1649251745
-
- Interventional Pain Medicine Physician
- Naples, FL
- NPI 1619928512
-
- Specialist
- Fort Myers, FL
- NPI 1518244383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1972584902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 TALLOWOOD WAY",
"city": "NAPLES",
"state": "FL",
"postal_code": "341165029",
"telephone_number": "239-530-2580",
"fax_number": "239-218-9142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 TALLOWOOD WAY",
"city": "NAPLES",
"state": "FL",
"postal_code": "341165029",
"telephone_number": "239-530-2580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "THERESA",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP1631102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "G2138",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305229000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.