Active NPI
Cassandra Rose Samuels, CRNA
- Certified Registered Nurse Anesthetist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11017823
- Practice address
- 3100 E Fletcher Ave
Tampa, FL 33613-4613 - Phone
- (813) 971-6000
- NPI assigned
- Feb 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 11017823 | FL | Primary |
Addresses
Primary practice location
3100 E Fletcher Ave
Tampa, FL 33613-4613
Mailing address
9709 Fox Hollow Rd
Tampa, FL 33647-1831
Phone (239) 209-7819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11017823 | Other | FL | APRN |
Other names 1
- Cassandra Rose Billburg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Phone (954) 393-5000
3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (954) 939-5000
900 Carillon Pkwy
Suite 205
Saint Petersburg, FL 33716-1108
Phone (954) 939-5000
Hospital & facility affiliations
- Adventhealth Tampa
- Adventhealth Wesley Chapel
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11017823 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Florida Anesthesiologists, LLC | Current | Accepting new patients | |
| Greater Florida Anesthesiologists, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Current | Accepting new patients |
Locations
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107
460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333
900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710
3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200
7171 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 558-8001
7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209
2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000
Organizations & group practices 4
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
- St Petersburg, FL
- NPI 1942519657
-
- Anesthesiology Physician
- Safety Harbor, FL
- NPI 1528630795
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1760054019
-
- Anesthesiology Physician
- Saint Petersburg, FL
- NPI 1760054944
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1023763307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9709 FOX HOLLOW RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336471831",
"telephone_number": "239-209-7819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 E FLETCHER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134613",
"telephone_number": "813-971-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELS",
"first_name": "CASSANDRA",
"middle_name": "ROSE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-15",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11017823",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "11017823",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CASSANDRA",
"last_name": "BILLBURG",
"middle_name": "ROSE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.