Active NPI
Sabrina Noelle Cassidy, ARNP
- Family Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9269862
- Practice address
- 1055 Howell Mill Rd NW
Atlanta, GA 30318-5557 - Phone
- (866) 849-0692
- NPI assigned
- Aug 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0037985 | OH | |
| Family Nurse Practitioner | 363LF0000X | 4704349572 | MI | |
| Family Nurse Practitioner | 363LF0000X | 86583 | NM | |
| Family Nurse Practitioner | 363LF0000X | 0024195484 | VA | |
| Family Nurse Practitioner | 363LF0000X | A190240 | IA | |
| Family Nurse Practitioner | 363LF0000X | 29655 | SC | |
| Family Nurse Practitioner | 363LF0000X | 4029892 | KY | |
| Family Nurse Practitioner | 363LF0000X | APRN9269862 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | 247360 | LA | |
| Family Nurse Practitioner | 363LF0000X | 1182776 | TX | |
| Family Nurse Practitioner | 363LF0000X | GAA-NP003004 | GA | |
| Family Nurse Practitioner | 363LF0000X | AP61627345 | WA | |
| Family Nurse Practitioner | 363LF0000X | 3-001958 | CO | |
| Family Nurse Practitioner | 363LF0000X | 3-001958 | AL | |
| Family Nurse Practitioner | 363LF0000X | 228526 | OK |
Addresses
Primary practice location
1055 Howell Mill Rd NW
Atlanta, GA 30318-5557
Mailing address
PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692
Other practice location 1
205 N East Ave
Jackson, MI 49201-1753
Phone (517) 205-1328
Other practice location 2
3000 Medical Park Dr Ste 150
Tampa, FL 33613-4679
Phone (813) 977-2020
Other practice location 3
501 E Cummins St
Tecumseh, MI 49286-2070
Phone (517) 424-3070
Other practice location 4
13540 Walsingham Rd
Largo, FL 33774-3546
Phone (727) 593-5492
Other names 1
- Sabrina Noelle Randall
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, KY, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3-001958 | AL | MD | Family Nurse Practitioner |
| 3-001958 | CO | MD | Family Nurse Practitioner |
| APRN9269862 | FL | MD | Family Nurse Practitioner |
| GAA-NP003004 | GA | MD | Family Nurse Practitioner |
| A190240 | IA | MD | Family Nurse Practitioner |
| 86583 | NM | MD | Family Nurse Practitioner |
| APRN.CNP.0037985 | OH | MD | Family Nurse Practitioner |
| 228526 | OK | MD | Family Nurse Practitioner |
| 29655 | SC | MD | Family Nurse Practitioner |
| 1182776 | TX | MD | Family Nurse Practitioner |
| 0024195484 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Regional Health Systems, Inc. | Multi-Specialty | Current | Accepting new patients |
| Florida Medical Clinic LLC | Multi-Specialty | Current | Accepting new patients |
| Florida Medical Clinic, LLC | Current | Accepting new patients | |
| Community Hospital Family Practice LLC | Multi-Specialty | Current | Accepting new patients |
Locations
7515 State Road 52
Ste 102
Hudson, FL 34667
Phone (727) 842-3322
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
13540 Walsingham Rd
Largo, FL 33774
Phone (727) 587-7113
3000 Medical Park Dr
Ste 190
Tampa, FL 33613
Phone (813) 977-7794
3000 Medical Park Dr
Ste 150
Tampa, FL 33613
Phone (813) 977-2020
11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209
38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188
Interoperability endpoints
- sabrina.randall@hca4.eclinicaldirectplus.com
- scassidy573972@direct.hfhs.org
- scassidy53053@lrhs.direct-ci.com
Organizations & group practices 5
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Brooksville, FL
- NPI 1902094857
Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
-
- Primary Care Clinic/Center
- Pembroke Pines, FL
- NPI 1245838168
KY, WA
-
- Pharmacy
- Zephyrhills, FL
- NPI 1669548020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1366996076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 211699",
"city": "EAGAN",
"state": "MN",
"postal_code": "551213699",
"telephone_number": "866-849-0692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 HOWELL MILL RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303185557",
"telephone_number": "866-849-0692"
}
],
"practiceLocations": [
{
"address_1": "205 N East Ave",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MI",
"postal_code": "492011753",
"country_code": "US",
"telephone_number": "517-205-1328",
"fax_number": "517-205-1330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3000 Medical Park Dr Ste 150",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336134679",
"country_code": "US",
"telephone_number": "813-977-2020",
"fax_number": "813-355-5010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 E Cummins St",
"address_purpose": "LOCATION",
"city": "Tecumseh",
"state": "MI",
"postal_code": "492862070",
"country_code": "US",
"telephone_number": "517-424-3070",
"fax_number": "517-423-2786",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13540 Walsingham Rd",
"address_purpose": "LOCATION",
"city": "Largo",
"state": "FL",
"postal_code": "337743546",
"country_code": "US",
"telephone_number": "727-593-5492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASSIDY",
"first_name": "SABRINA",
"middle_name": "NOELLE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-10",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0037985",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704349572",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "86583",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024195484",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A190240",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "29655",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4029892",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9269862",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "247360",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1182776",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "GAA-NP003004",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61627345",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "3-001958",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "3-001958",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "228526",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SABRINA",
"last_name": "RANDALL",
"middle_name": "NOELLE",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.