Active NPI
Candise Cecilia Cabado, MSN NP
- Family Nurse Practitioner
- Kissimmee, FL
National Provider Identifier
1316651003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11036879
- Practice address
- 3050 Dyer Blvd Ste 181
Kissimmee, FL 34741-7839 - Phone
- (786) 566-0967
- NPI assigned
- Jan 9, 2023
- Last updated
- Feb 25, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11036879 | FL | Primary |
Addresses
Primary practice location
3050 Dyer Blvd Ste 181
Kissimmee, FL 34741-7839
Mailing address
3050 Dyer Blvd Ste 181
Kissimmee, FL 34741-7839
Phone (786) 566-0967
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)
- Not enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11036879 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medglam Aesthetics LLC | Current | Accepting new patients |
Locations
3050 Dyer Blvd
Kissimmee, FL 34741
Phone (407) 374-9837
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.
-
- Clinic/Center
- Kissimmee, FL
- NPI 1720891955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1316651003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 DYER BLVD STE 181",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417839",
"telephone_number": "786-566-0967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 DYER BLVD STE 181",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417839",
"telephone_number": "786-566-0967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABADO",
"first_name": "CANDISE",
"middle_name": "CECILIA",
"credential": "MSN NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-09",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11036879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.