Individual provider Active NPI

Catherine Mazzella

  • Family Nurse Practitioner
  • Minneola, FL
National Provider Identifier
1477018935
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1180522 Issued in FL
Practice address
812 Palm Forest LN
Minneola, FL 34715-7734
Phone
(407) 276-2139
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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 F1180522 FL Primary

Addresses

Primary practice location

812 Palm Forest LN
Minneola, FL 34715-7734

Mailing address

812 Palm Forest LN
Minneola, FL 34715-7734
Phone (407) 276-2139

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
I20200306000252 FL Practitioner - Nurse Practitioner 7214364181 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F1180522FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas J Katta, MD, PA CurrentSince Sep 22, 2019 Accepting new patients

Locations

922 Lucerne Ter
Orlando, FL 32806
Phone (407) 426-8660

Interoperability endpoints

  • Direct secure messaging: cmazzella127916@adventhealth.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1477018935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 PALM FOREST LN",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347157734",
            "telephone_number": "407-276-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 PALM FOREST LN",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347157734",
            "telephone_number": "407-276-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZELLA",
        "first_name": "CATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F1180522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneola, FL

Sources for this page

Verify at the official NPI Registry.