CDR Health Care Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CDR HEALTH CARE INC

Practice address

313 Norton Dr Ste 102
Tallahassee, FL 32308-5965

Phone

(850) 738-7977

NPI assigned

Oct 2, 2020

Last updated

Apr 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tina Vidal-Duart, N/A

Title

Chief Executive Officer

Phone

(786) 235-8534

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, MA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: hughvanlandingham@cdrhci.allscriptsdirect.net
• Direct secure messaging: micahhughes@cdrhci.allscriptsdirect.net
• Direct secure messaging: vanessalickson@cdrhci.allscriptsdirect.net

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Antonio Gandia, MD

  • Emergency Medicine Physician
  • Hialeah, FL
  • NPI 1992896898
  Medicare reassignment NPD
• Micah Hughes

  • Nurse Practitioner
  • Tallahassee, FL
  • NPI 1235599671
  Medicare reassignment NPD
• Narendra M Kini, M.D.

  • General Practice Physician
  • Pinecrest, FL
  • NPI 1386671303

  MA

  Medicare reassignment NPD
• Vanessa Gammill Lickson, APRN

  • Family Nurse Practitioner
  • Blountstown, FL
  • NPI 1609343698
  Medicare reassignment NPD
• Hugh Vanlandingham, M.D.

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1326056706
  Medicare reassignment NPD
• Melinda Louise Kirkland, RN

  • General Practice Registered Nurse
  • Miami, FL
  • NPI 1659014363
  NPD
• Yarisleidys Luis Lopez

  • Primary Care Nurse Practitioner
  • Miami, FL
  • NPI 1255163143
  NPD (past)
• Mike Maurice Supplice, ARNP

  • Critical Care Medicine (Anesthesiology) Physician
  • Tallahassee, FL
  • NPI 1689000101
  NPD (past)

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1497352587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11740 SW 80TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834822",
            "telephone_number": "786-235-8534",
            "fax_number": "786-235-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 NORTON DR STE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085965",
            "telephone_number": "850-738-7977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2925 Biscayne Blvd",
            "address_purpose": "LOCATION",
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            "postal_code": "331374121",
            "country_code": "US",
            "telephone_number": "850-738-7977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1981 Capital Cir NE",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084421",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40600 Ann Arbor Rd E Ste 201",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481704675",
            "country_code": "US",
            "telephone_number": "786-235-2587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 N Jackson St Ste 605",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361043821",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
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        },
        {
            "address_1": "8585 Old Dairy Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998018094",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3707 E Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852062569",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 W Capitol Ave Ste 1900",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722013717",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 N Brand Blvd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912032336",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7700 E Arapahoe Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801121268",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
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        },
        {
            "address_1": "165 Capitol Ave",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061061659",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1209 N Orange St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198011120",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 15th St NW Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200052621",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "289 S Culver St",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300464805",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Bishop St Ste 2685A",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968133404",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 W Shoreline Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837029107",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "334 N Senate Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462041708",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 E Court Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503092027",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 SW 7th St Ste 3C",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666033858",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 W Main St Ste 512",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406011840",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3867 Plaza Tower Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708164378",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 State St # 3",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043305630",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2405 York Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lutherville Timonium",
            "state": "MD",
            "postal_code": "210932252",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Federal St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021101727",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Dale St N",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551175603",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "645 Lakeland East Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329099",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3011 American Way",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598081921",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5601 S 59th St Ste C",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685162340",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5470 Kietzke Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895112099",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 1/2 Beacon St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033014447",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Bear Tavern Rd",
            "address_purpose": "LOCATION",
            "city": "Ewing",
            "state": "NJ",
            "postal_code": "086281021",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Commerce Plaza 99 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122315965",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Mine Lake Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276156417",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 W Sweet Ave",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585045566",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 Easton Cmns Ste 125",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432196223",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1833 S Morgan Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731287004",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 Commercial St SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973013465",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N 2nd St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171011071",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Chapman St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029054533",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Office Park Ct Ste 103",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292235948",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 South Conteau Street",
            "address_purpose": "LOCATION",
            "city": "Pierre",
            "state": "SD",
            "postal_code": "57501",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Montvue Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195510",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1999 Bryan St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752013140",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1108 E South Union Ave",
            "address_purpose": "LOCATION",
            "city": "Midvale",
            "state": "UT",
            "postal_code": "840472904",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 G Tatro Drive",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "VT",
            "postal_code": "05464",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4701 Cox Rd Ste 285",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230606808",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 Capitol Way S Ste 204",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985011267",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5098 Washington St W Ste 407",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253131561",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1433 N Water St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532022557",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2232 Dell Range Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820094942",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Calle De La Tanca Ste 512&514",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009011942",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "72 Kronprindsens Gade",
            "address_2": "Ste: A",
            "address_purpose": "LOCATION",
            "city": "St. Thomas",
            "state": "VI",
            "postal_code": "00802",
            "country_code": "US",
            "telephone_number": "786-235-8534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CDR HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "VIDAL-DUART",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "786-235-8534",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.