Karina Vannessa Croasdaile, APRN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11000041 Issued in FL

Practice address

3399 SW 142ND Ave
Miramar, FL 33027-3762

Phone

(305) 788-8084

NPI assigned

Nov 13, 2018

Last updated

Nov 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032

  Family Medicine

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1558830158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 SW 142ND AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273762",
            "telephone_number": "305-788-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 SW 142ND AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273762",
            "telephone_number": "305-788-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROASDAILE",
        "first_name": "KARINA",
        "middle_name": "VANNESSA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11000041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CPMH Professional Health Services (None)
• Angela M Crawford, MD
• Stephanie Crespo
• Stephanie S Crews, MASSAGE THERAPIST
• Laurent Cristobal Collado
• Noel Crooks
• Kayla Crosdale
• Wilfredo Cruz Ibarra, DMD
• Dailyn Cruz Milan
• Eugenio Cruz Sanchez, MD

• Family Medicine Physician in Miramar, FL
• Providers in Miramar, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.