Individual provider Active NPI

Cara J Lasley, D.O

  • Pediatric Critical Care Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1356638613
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
OS19066 Issued in FL
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

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220817002776 FL Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 3274856372 Reassigns benefits to 3 organizations
I20260623001414 SC Practitioner - Pediatric Medicine 3274856372 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
T-2504MSMDPediatrics Physician
C2-0012727DEMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Specialty Physicians Inc Pediatric Critical Care Medicine CurrentSince Aug 15, 2022 Accepting new patients
The Nemours Foundation Current Accepting new patients
The Nemours Foundation CurrentSince Oct 27, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Dec 6, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Pediatrics CurrentSince Dec 6, 2024 Accepting new patients
Baptist Specialty Physicians Inc CurrentSince Aug 14, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.