Individual provider Active NPI

Cassandra Marie Nichols, FNP-BC

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1427875772
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11034781 Issued in FL
Practice address
3446 Caravelle St
Sarasota, FL 34240-1252
Phone
(845) 392-4605
NPI assigned
Sep 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11034781 FL Primary

Addresses

Primary practice location

3446 Caravelle St
Sarasota, FL 34240-1252

Mailing address

3446 Caravelle St
Sarasota, FL 34240-1252
Phone (845) 392-4605

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cnichols721124@Direct.leememorial.org Direct LEE HEALTH SYSTEM INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241105002124 FL Practitioner - Nurse Practitioner 9739613357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cerebrum Healthcare LLCGroup PAC ID 8729341847, 19 clinicians

Practice addresses (Care Compare)

1414 69TH Ave W
Bradenton, FL 34207-5850
Phone (941) 260-1526

2639 Curry LN
Nokomis, FL 34275-4903
Phone (941) 244-5089

3225 S Macdill Ave
Suite 129/300
Tampa, FL 33629-8171

3409 26TH St W
Truewood
Bradenton, FL 34205-3600
Phone (941) 751-7200

5121 E Serena Dr
Palm Terrace Alf
Tampa, FL 33617-4012
Phone (813) 988-0033

Hospital & facility affiliations

  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11034781FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cerebrum Healthcare LLC CurrentSince Oct 8, 2024 Accepting new patients

Locations

3225 S Macdill Ave
Ste 129300
Tampa, FL 33629
Phone (813) 324-1911

3225 S Macdill Ave
Tampa, FL 33629
Phone (813) 451-0013

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1427875772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3446 CARAVELLE ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342401252",
            "telephone_number": "845-392-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3446 CARAVELLE ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342401252",
            "telephone_number": "845-392-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "CASSANDRA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11034781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cnichols721124@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "LEE HEALTH SYSTEM INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.