Individual provider Active NPI

Carol A Casanova, RD

  • Registered Dietitian
  • Fort Pierce, FL
National Provider Identifier
1437561156
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND1513 Issued in FL
Practice address
3855 S. US Highway 1
Suite B
Fort Pierce, FL 34982
Phone
(772) 344-2541
Fax
(772) 344-2544
NPI assigned
May 29, 2014
Last updated
May 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND1513 FL Primary

Addresses

Primary practice location

3855 S. US Highway 1
Suite B
Fort Pierce, FL 34982

Mailing address

5150 Northwest Milner Drive
Port St Lucie, FL 34983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Lucie County Health Access Network, Inc. Dba/ Hands Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17433/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1437561156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 NORTHWEST MILNER DRIVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 S. US HIGHWAY 1",
            "address_2": "SUITE B",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "34982",
            "telephone_number": "772-344-2541",
            "fax_number": "772-344-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASANOVA",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND1513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.