Credentialing Connection, LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

CREDENTIALING CONNECTION, LLC

Practice address

2335 Stratford Dr
Sarasota, FL 34232-4142

Phone

(941) 320-4619

NPI assigned

Jan 5, 2024

Organization subpart

No

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

Authorized official

Name

Tina Fasetti

Title

Ceo

Phone

(941) 320-4619

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1467222927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 STRATFORD DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342324142",
            "telephone_number": "941-320-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 STRATFORD DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342324142",
            "telephone_number": "941-320-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREDENTIALING CONNECTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "FASETTI",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-320-4619"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Craven, PHD, LMFT-S, RPT-S
• Constance Antionette Crawford, CRNA
• Cynthia Sagrid Creal, LMHC
• Richard D. Creasy, CRNA
• Creative Counseling Solutions of Sarasota, Inc.
• Creekside Rehab Opco, LLC (Creekside Health and Rehabilitation Center)
• Joseph J Creevy, MD
• Crescent Operations, LLC (Crescent Health and Rehabilitation Center)
• Shannon Marie Crespo, SLP
• Kelly Louise Crocker, OTR/L

• Contractor in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.