Active NPI
Carol Cardinale, CRNA
- Certified Registered Nurse Anesthetist
- Port St Lucie, FL
National Provider Identifier
1225020928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 195573
- Practice address
- 1800 SE Tiffany Ave
Port St Lucie, FL 34952-7521 - Phone
- (772) 398-3531
- Fax
- (772) 398-3575
- NPI assigned
- Aug 18, 2005
- Last updated
- Nov 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 195573 | NY | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | ARNP 9268903 | FL |
Addresses
Primary practice location
1800 SE Tiffany Ave
Port St Lucie, FL 34952-7521
Mailing address
1989 SW Hillman St
Port St Lucie, FL 34953-1183
Phone (772) 398-3531
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
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9268903 | FL | MD | Certified Registered Nurse Anesthetist |
| 195573 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cross River Anesthesiologist Services, PC | Past | Accepting new patients | |
| Atlantic Coast Anesthesia Associates | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1669425641
-
- Anesthesiology Physician
- Rhinebeck, NY
- NPI 1578519955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1225020928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1989 SW HILLMAN ST",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349531183",
"telephone_number": "772-398-3531",
"fax_number": "772-398-3575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SE TIFFANY AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527521",
"telephone_number": "772-398-3531",
"fax_number": "772-398-3575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDINALE",
"first_name": "CAROL",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "195573",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP 9268903",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
- Capstone HME of Florida Inc (Captstone HME Florida PSL)
- Capstone HME of Florida Inc
- Cynthia Caputo, LIC.AC.
- Kristin Hope Carbin
- John Rodney Cardiff, MD
- Cardiopulmonary Associates of the Treasure Coast PA
- Daniela Cardona Leon, AUD
- Care First Homemaker & Companion Services LLC
- Care Health Service of Florida, Inc. (Redi-Nurse of the Treasure Coast)
- Care Health Services of Florida, Inc. (Redi-Nurse of Palm Beach County)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.