Individual provider Active NPI

Cecilia De la Caridad Cruz Almaguer, RN, MSN, ARNP, FNP

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1225630353
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11009717 Issued in FL
Practice address
2123 W Dr Martin Luther King Jr Blvd Ste 101
Tampa, FL 33607-6545
Phone
(813) 488-4801
Fax
(813) 405-4506
NPI assigned
Nov 13, 2020
Last updated
Jan 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 11009717 FL
Nurse Practitioner 363L00000X 11009717 FL Primary

Addresses

Primary practice location

2123 W Dr Martin Luther King Jr Blvd Ste 101
Tampa, FL 33607-6545

Mailing address

2123 W Dr Martin Luther King Jr Blvd Ste 101
Tampa, FL 33607-6545
Phone (813) 488-4801

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
I20201210001480 FL Practitioner - Nurse Practitioner 6901218239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nodal Medical Center LLCGroup PAC ID 3577838549, 4 clinicians

Practice addresses (Care Compare)

2123 W Martin Luther King Jr Blvd
Suite 101
Tampa, FL 33607-6545
Phone (813) 488-4801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
11009717FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nodal Medical Center LLC CurrentSince Oct 15, 2020 Accepting new patients

Locations

2123 W Mlk Blvd
Ste 101
Tampa, FL 33607
Phone (813) 405-4385

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, 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": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1225630353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 W DR MARTIN LUTHER KING JR BLVD STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076545",
            "telephone_number": "813-488-4801",
            "fax_number": "813-405-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 W DR MARTIN LUTHER KING JR BLVD STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076545",
            "telephone_number": "813-488-4801",
            "fax_number": "813-405-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ ALMAGUER",
        "first_name": "CECILIA",
        "middle_name": "DE LA CARIDAD",
        "credential": "RN, MSN, ARNP,  FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2022-01-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "11009717",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11009717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.