Individual provider Active NPI

Carolina Gradvohl Assis, ARNP, FNP

  • Family Nurse Practitioner
  • Weston, FL
National Provider Identifier
1255876470
Registry record updated Dec 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9364968 Issued in FL
Practice address
1825 N Corporate Lakes Blvd
Weston, FL 33326-3211
Phone
(954) 349-1111
NPI assigned
Dec 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9364968 FL Primary

Addresses

Primary practice location

1825 N Corporate Lakes Blvd
Weston, FL 33326-3211

Mailing address

1825 N Corporate Lakes Blvd
Weston, FL 33326-3211
Phone (954) 349-1111

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
I20170130002123 FL Practitioner - Nurse Practitioner 3072895960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland Clinic FloridaGroup PAC ID 7911807128, 717 clinicians

Practice addresses (Care Compare)

2950 Cleveland Clinic Blvd
Weston, FL 33331-3609
Phone (954) 659-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Florida a Nonprofit Corporation CurrentSince Dec 28, 2016 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients

Locations

1825 N Corporate Lakes Blvd
Weston, FL 33326
Phone (954) 349-1111

2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000

Interoperability endpoints

  • Direct secure messaging: cassis422843@direct.ccf.org

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 2

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": "1482537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482537600000",
    "number": "1255876470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 N CORPORATE LAKES BLVD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263211",
            "telephone_number": "954-349-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 N CORPORATE LAKES BLVD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263211",
            "telephone_number": "954-349-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSIS",
        "first_name": "CAROLINA",
        "middle_name": "GRADVOHL",
        "credential": "ARNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-24",
        "last_updated": "2016-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9364968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.