Active NPI
Cara J Lasley, D.O
- Pediatric Critical Care Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- OS19066
- Practice address
- 841 Prudential Dr Ste 280
Jacksonville, FL 32207-8329 - Phone
- (904) 202-8550
- Fax
- (904) 393-7808
- NPI assigned
- Jul 6, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | T-2504 | MS | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | C2-0012727 | DE | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | OS19066 | FL | Primary |
Addresses
Primary practice location
841 Prudential Dr Ste 280
Jacksonville, FL 32207-8329
Mailing address
PO Box 746645
Atlanta, GA 30374-6645
Phone (904) 376-4083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
555 E Cheves St
Florence, SC 29506-2617
PO Box
Charlotte, NC 28260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-2504 | MS | MD | Pediatrics Physician |
| C2-0012727 | DE | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Specialty Physicians Inc | Pediatric Critical Care Medicine | Current | Accepting new patients |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Pediatrics | Current | Accepting new patients |
| Baptist Specialty Physicians Inc | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc. | Past | Accepting new patients |
Locations
1600 Rockland Rd
Wilmington, DE 19803
841 Prudential Dr
Ste 280
Jacksonville, FL 32207
Phone (904) 202-8290
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110
6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000
2418 E Plaza Dr
Tallahassee, FL 32308
Phone (850) 629-4861
Interoperability endpoints
- clasley751925@direct.shands.ufl.edu
Organizations & group practices 8
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.
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-
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-
- Emergency Medical Services (Emergency Medicine) Physician
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-
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- Multi-Specialty Clinic/Center
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- NPI 1265585806
-
- Physiological Laboratory
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- NPI 1831800952
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1356638613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746645",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746645",
"telephone_number": "904-376-4083",
"fax_number": "904-391-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 PRUDENTIAL DR STE 280",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078329",
"telephone_number": "904-202-8550",
"fax_number": "904-393-7808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASLEY",
"first_name": "CARA",
"middle_name": "J",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-06",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MS",
"license": "T-2504",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "DE",
"license": "C2-0012727",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "OS19066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.