Individual provider Active NPI

Sabrina Noelle Cassidy, ARNP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1366996076
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9269862 Issued in FL
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

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0037985 OH
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170124001926 FL Practitioner - Nurse Practitioner 5395027510 Reassigns benefits to 4 organizations
I20241202000313 KY Practitioner - Nurse Practitioner 5395027510 Reassigns benefits to 1 organization
I20250117002745 WA Practitioner - Nurse Practitioner 5395027510 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3-001958ALMDFamily Nurse Practitioner
3-001958COMDFamily Nurse Practitioner
APRN9269862FLMDFamily Nurse Practitioner
GAA-NP003004GAMDFamily Nurse Practitioner
A190240IAMDFamily Nurse Practitioner
86583NMMDFamily Nurse Practitioner
APRN.CNP.0037985OHMDFamily Nurse Practitioner
228526OKMDFamily Nurse Practitioner
29655SCMDFamily Nurse Practitioner
1182776TXMDFamily Nurse Practitioner
0024195484VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Regional Health Systems, Inc. Multi-Specialty CurrentSince Dec 6, 2023 Accepting new patients
Florida Medical Clinic LLC Multi-Specialty CurrentSince Jun 11, 2018 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Jun 11, 2018 Accepting new patients
Community Hospital Family Practice LLC Multi-Specialty CurrentSince Oct 31, 2016 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

  • Direct secure messaging: sabrina.randall@hca4.eclinicaldirectplus.com
  • Direct secure messaging: scassidy573972@direct.hfhs.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.