Individual provider Active NPI

Katerine De la Caridad Silva-Carracedo, APRN

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1043093271
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11027200 Issued in FL
Practice address
625 E Twiggs St Ste 103
Tampa, FL 33602-3925
Phone
(813) 228-7696
Fax
(813) 228-0677
NPI assigned
Aug 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11027200 FL Primary

Addresses

Primary practice location

625 E Twiggs St Ste 103
Tampa, FL 33602-3925

Mailing address

625 E Twiggs St Ste 103
Tampa, FL 33602-3925
Phone (813) 228-7696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231026001513 FL Practitioner - Nurse Practitioner 7416303557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation and Electrodiagnostics PAGroup PAC ID 1153364955, 31 clinicians

Practice addresses (Care Compare)

625 E Twiggs St
Suite 103
Tampa, FL 33602-3910
Phone (813) 228-7696

Hospital & facility affiliations

  • Adventhealth Home Health Home health agency, Temple Terrace, FL, CCN 107414
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11027200FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation and Electrodiagnostics PA CurrentSince Oct 1, 2023 Accepting new patients
Columbia Anesthesia Services, LLC Past Accepting new patients

Locations

3651 Cortez Rd W
Ste 100
Bradenton, FL 34210
Phone (813) 228-7696

625 E Twiggs St
Ste 103
Tampa, FL 33602
Phone (813) 228-7696

2914 N Boulevard
Tampa, FL 33602
Phone (813) 228-7696

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1043093271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E TWIGGS ST STE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023925",
            "telephone_number": "813-228-7696",
            "fax_number": "813-228-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E TWIGGS ST STE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023925",
            "telephone_number": "813-228-7696",
            "fax_number": "813-228-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA-CARRACEDO",
        "first_name": "KATERINE",
        "middle_name": "DE LA CARIDAD",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11027200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.