DEDRA HERN CRNA LLC
NPI 1679635924
Nurse Anesthetist, Certified Registered in St Petersburg, FL

Q: What is Dedra Hern Crna LLC's NPI number?

The NPI number for Dedra Hern Crna LLC is 1679635924. It was assigned to this organization in the NPPES registry on December 14, 2006.

Q: What is Dedra Hern Crna LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since December 14, 2006

1601 38TH AVE N, ST PETERSBURG, FL 33713(317) 614-9863(844) 876-0873 Get Directions Write a Review

NPPES record last updated: February 16, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dedra Hern Crna Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEDRA HERN CRNA LLC (NPI 1679635924) is a healthcare organization registered as a nurse anesthetist, certified registered in St Petersburg, Florida and active in the NPI registry since December 2006. The organization lists Dedra Hern, President, as its authorized official.

NPPES Registry Identity

NPI1679635924

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameDEDRA HERN CRNA LLC

Location Address1601 38TH AVE NSt Petersburg, FL 33713-1926

Mailing AddressPo Box 850001 Dept 0451Orlando, FL 32885-0451 · (855) 543-5604 · Fax (855) 679-5160

Phone(317) 614-9863

Fax(844) 876-0873

Organization SubpartNo

Authorized OfficialDedra HernPresident · (813) 215-4960

Enumeration DateDecember 14, 2006

Last NPPES UpdateFebruary 16, 2017

✔ NPI 1679635924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in FL · ARNP2702392

Definition

(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.

1601 38TH AVE N, St Petersburg, FL 33713

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Other Identifiers 4

Medicare PINK6463FL

OtherDC1392FL · Railroad Medicare

OtherG9055FL · Fl Blue Cross

Medicaid306290200FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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Nurse Anesthetist, Certified Registered