Individual provider Active NPI

Carla Ann Cassidy, RRT

  • Registered Respiratory Therapist
  • Lake City, FL
National Provider Identifier
1023347259
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
RT6915 Issued in FL
Practice address
320 N.W. Turner Ave.
Lake City, FL 32055
Phone
(386) 754-1711
Fax
(386) 754-1712
NPI assigned
Dec 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X RT6915 FL Primary

Addresses

Primary practice location

320 N.W. Turner Ave.
Lake City, FL 32055

Mailing address

320 N.W. Turner Ave.
Lake City, FL 32055
Phone (386) 754-1711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RT6915FLMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary and Sleep Center of Lake City PA PastSince Jun 20, 2005 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1023347259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N.W. TURNER AVE.",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32055",
            "telephone_number": "386-754-1711",
            "fax_number": "386-754-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N.W. TURNER AVE.",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32055",
            "telephone_number": "386-754-1711",
            "fax_number": "386-754-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "CARLA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "FL",
            "license": "RT6915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.