Individual provider Active NPI

Cavel Sylvia Elliott, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Apopka, FL
National Provider Identifier
1033324975
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN2041942 Issued in FL
Practice address
1475 W Orange Blossom TRL
Apopka, FL 32712
Phone
(407) 537-2767
Fax
(407) 612-2312
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN2041942 FL Primary

Addresses

Primary practice location

1475 W Orange Blossom TRL
Apopka, FL 32712

Mailing address

581 N Park Ave Unit 4128
Apopka, FL 32704-8731
Phone (407) 537-2767

Other practice location 1

Wyckoff Heights Medical Center
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-7272

Other identifiers 1

IdentifierTypeStateIssuer
02581859MedicaidNY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
303126NYMDLicensed Practical Nurse
APRN2041942FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medipro Health LLC Current Accepting new patients
Medipro Home Care Services LLC Current Accepting new patients

Locations

1475 W Orange Blossom Trl
Apopka, FL 32712
Phone (407) 307-1041

581 N Park Ave
Unit 4128
Apopka, FL 32704

Interoperability endpoints

  • Direct secure messaging: cavel.elliott.1@19780.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19780/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1033324975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 N PARK AVE UNIT 4128",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327048731",
            "telephone_number": "407-537-2767",
            "fax_number": "407-612-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 W ORANGE BLOSSOM TRL",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "32712",
            "telephone_number": "407-537-2767",
            "fax_number": "407-612-2312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Wyckoff Heights Medical Center",
            "address_2": "374 Stockholm St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11237",
            "country_code": "US",
            "telephone_number": "718-963-7272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "CAVEL",
        "middle_name": "SYLVIA",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN2041942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02581859",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.