MR. DARRYL LEE TRUNDLE (NPI# 1174877765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174877765 |
| Entity Type | Individual |
| Full Name | MR. DARRYL LEE TRUNDLE |
| Credential | CRNA |
| Practice Address |
951 N Washington Ave Titusville FL 32796-2163 |
| Practice Telephone | 3212686111 |
| Mailing Telephone | 3212686111 |
| Enumeration Date | 2012-11-03 |
| Last Update Date | 2012-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 9351918 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
951 N WASHINGTON AVE |
| City | TITUSVILLE |
| State | FL |
| Zip Code | 32796-2163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324986 | Arvind Alex D'cruz | Psychiatry & Neurology | 951 N Washington Ave, Pmg. Hospitalist.neurology Dept, Titusville, FL 32796-2163 | 2005-05-24 |
| 1376169243 | Erin Keane Brown | Speech-Language Pathologist | 951 N Washington Ave, Titusville, FL 32796-2163 | 2020-06-17 |
| 1124649025 | Bliss Hahn Drinkwater | Nurse Practitioner | 951 N Washington Ave, Titusville, FL 32796-2163 | 2020-05-01 |
| 1285255224 | Nicole Yacobino | Physical Therapy Assistant | 951 N Washington Ave, Titusville, FL 32796-2163 | 2020-04-30 |
| 1619597135 | Robert Fray | Physical Therapist | 951 N Washington Ave, Titusville, FL 32796-2163 | 2020-04-24 |
| 1851910301 | Leonardo Ramon Hughes | Physical Therapy Assistant | 951 N Washington Ave, Titusville, FL 32796-2163 | 2020-04-15 |
| 1760034334 | Rebecca L Kahrs Bolanos | Nurse Practitioner | 951 N Washington Ave, Hospitalist Dept, Titusville, FL 32796 | 2019-07-12 |
| 1841771524 | Kristen Kennedy | Nurse Practitioner | 951 N Washington Ave, Titusville, FL 32796-2163 | 2018-08-22 |
| 1881180503 | Brittany Lynn Maynard | Nurse Practitioner | 951 N Washington Ave, Titusville, FL 32796-2163 | 2018-07-05 |
| 1699277673 | Jennifer Marie Watts | Nurse Practitioner | 951 N Washington Ave, Titusville, FL 32796-2163 | 2018-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698091 | Miranda Jade Lacey | Behavior Technician | 2073 Graden St, Titusville, FL 32796 | 2020-01-13 |
| 1588183818 | Charles Hopkins Jr. | Behavior Technician | 2073 Garden St., Titusville, FL 32796 | 2017-09-19 |
| 1962924456 | Robin Marie Ahlgren | Social Worker | 503 South Palm Ave, Titusville, FL 32796 | 2017-07-17 |
| 1669994158 | New Creation Counseling | Social Worker | 503 South Palm Ave., Titusville, FL 32796 | 2017-07-17 |
| 1255719506 | Daniel Joseph Spagnoli | Dentist | 55 N Carpenter Rd, Titusville, FL 32796 | 2015-05-07 |
| 1033511415 | Imran Rashid Md Pa | Internal Medicine | 3300 Dairy Road, Titusville, FL 32796 | 2014-09-17 |
| 1639425432 | William Henry Ruppert Jr. | Dietitian, Registered | 2191 Garden Street, Titusville, FL 32796 | 2012-07-30 |
| 1437410230 | Betsy Cooduvalli | Dermatology | 500 N Washington Ave Ste 109, Titusville, FL 32796 | 2012-06-07 |
| 1134403108 | Titusville Chiropractic & Injury Center, Inc. | Chiropractor | 850 Century Medical Drive, Titusville, FL 32796 | 2011-10-07 |
| 1992095152 | Jennifer Eleanor Koffman | Occupational Therapy Assistant | 140 N Hilltop Drive, Titusville, FL 32796 | 2011-04-08 |
| Find all providers in zip 32796 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306050299 | Scott Coleman Smith | Nurse Anesthetist, Certified Registered | Titusville Area Health Services, Inc. - Anesthesia, 406 West Oak Street, Titusville, PA 16354 | 2007-05-09 |
| 1457613267 | Sherry Duskie Pierce | Nurse Anesthetist, Certified Registered | 951 N Washington Ave, Titusville, FL 32796-2194 | 2012-06-08 |
| 1932494861 | Michele Lee Rogers | Nurse Anesthetist, Certified Registered | 951 N Washington Ave, Titusville, FL 32796-2163 | 2011-06-20 |
| 1083725493 | Titusville Area Hospital | Nurse Anesthetist, Certified Registered | 406 W Oak St, Titusville, PA 16354-1404 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285231084 | Gasem925 Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 11308 State Road 54 Ste B, Trinity, FL 34655-2294 | 2020-10-05 |
| 1437787207 | Lauren Nicole Stanton | Nurse Anesthetist, Certified Registered | 14892 67th Trl N, West Palm Beach, FL 33418-1960 | 2020-03-29 |
| 1215565197 | Alina Fleites | Nurse Anesthetist, Certified Registered | 12327 Sw 31st Ter, Miami, FL 33175-2258 | 2020-03-27 |
| 1205463510 | Michael Robert Donovan | Nurse Anesthetist, Certified Registered | 102 Morning Dew Cir, Jupiter, FL 33458-5277 | 2020-03-25 |
| 1134756554 | Monica Flores Espada | Nurse Anesthetist, Certified Registered | 410 Evernia St Apt 704, West Palm Beach, FL 33401-5438 | 2020-03-25 |
| 1447887005 | Seth Martin | Nurse Anesthetist, Certified Registered | 11324 Citra Cir Apt 103, Windermere, FL 34786-5950 | 2020-03-24 |
| 1003442070 | Rebecca Bernardo | Nurse Anesthetist, Certified Registered | 481 Moffat Loop, Oviedo, FL 32765-6289 | 2020-03-20 |
| 1639703150 | Jeremy Duckworth | Nurse Anesthetist, Certified Registered | 1073 Bethpage Rd, Auburndale, FL 33823-8408 | 2020-02-24 |
| 1750912572 | Ariane Rochelle Soffron | Nurse Anesthetist, Certified Registered | 9064 Vineyard Lake Dr, Plantation, FL 33324-6132 | 2020-01-30 |
| 1790315307 | Jonathan Vicencio | Nurse Anesthetist, Certified Registered | 88 Emerald Lake Dr, Palm Coast, FL 32137-1311 | 2020-01-22 |
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| City | TITUSVILLE |
| Zip Code | 32796 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.