Active NPI
Roan Cadavona, ARNP
- Family Nurse Practitioner
- Winter Haven, FL
National Provider Identifier
1093206104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F05180059
- Practice address
- 1601 6TH St SE
Winter Haven, FL 33880-4605 - Phone
- (863) 419-9301
- NPI assigned
- May 24, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F05180059 | FL | Primary |
Addresses
Primary practice location
1601 6TH St SE
Winter Haven, FL 33880-4605
Mailing address
303 Terranova Blvd
Winter Haven, FL 33884-3427
Phone (863) 298-9035
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F05180059 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Messieh Orthopedic Clinic PA | Current | Accepting new patients |
Locations
1601 6th St SE
Winter Haven, FL 33880
Phone (863) 294-0350
Interoperability endpoints
- roan.cadavona@kscc.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/BEJADA/Endpoint/BEJADA
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.
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Winter Haven, FL
- NPI 1972718450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1093206104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 TERRANOVA BLVD",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338843427",
"telephone_number": "863-298-9035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 6TH ST SE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338804605",
"telephone_number": "863-419-9301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CADAVONA",
"first_name": "ROAN",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-24",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F05180059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.