Priscila Cedillo, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9283126 Issued in FL

Practice address

2302 North Blvd W Ste a
Davenport, FL 33837-8923

Phone

(407) 299-7333

NPI assigned

Jul 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eon Care Clinicians PCGroup PAC ID 1052833951, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: priscila.cedillo.1@31553.direct.athenahealth.com

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.

• Eon Care Clinicians PC

  • Nurse Practitioner
  • Germantown, MD
  • NPI 1073332490

  FL

  Medicare reassignment Care Compare group NPD
• Dover Shores Family Practice

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1417683707
  Medicare reassignment NPD
• Primary Care Specialists of Orlando LLC

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1740559939
  NPD
• Traditions Family Medicine, LLC

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1548924236
  NPD
• Mid-Florida Dermatology Associates P.a.

  dba NOLA Dermatology

  • Dermatology Physician
  • Orlando, FL
  • NPI 1619018561
  NPD (past)
• Sage Infusion, LLC

  • Infusion Therapy Clinic/Center
  • Tampa, FL
  • NPI 1013578442
  NPD (past)

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1508343435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 POOLSIDE DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347697096",
            "telephone_number": "321-697-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 NORTH BLVD W STE A",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378923",
            "telephone_number": "407-299-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDILLO",
        "first_name": "PRISCILA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9283126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caupolican Transport LLC
• Angela Cayson, COTA/L
• Cazeau Adult Family Care Home
• Michelet Cazeau, ADMINISTRATOR
• Bernarda Antonieta Cedano Ramirez, PA
• Celebration Obstetrics and Gynecology Associates PA
• Celestial Home Care Services LLC
• Carmen Celestrin Vina
• Neika Celise-Thomas
• Center for Aging and Rehabilitation of Davenport Inc (Davenport Care Center)

• Nurse Practitioner in Davenport, FL
• Providers in Davenport, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.