Active NPI
Paradise Family Practice LLC
- Family Nurse Practitioner
- Port Orange, FL
National Provider Identifier
1609662337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PARADISE FAMILY PRACTICE LLC
- Practice address
- 1402 Dunlawton Ave
Port Orange, FL 32127-2917 - Phone
- (386) 561-9026
- Fax
- (828) 800-9933
- NPI assigned
- Apr 18, 2025
- Last updated
- Mar 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cassie Harrison
- Title
- Owner
- Phone
- (386) 405-7375
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1402 Dunlawton Ave
Port Orange, FL 32127-2917
Mailing address
5327 Plantation Home Way
Port Orange, FL 32128-7528
Phone (386) 278-0183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Port Orange, FL
- NPI 1710629852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774310400000",
"number": "1609662337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5327 PLANTATION HOME WAY",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321287528",
"telephone_number": "386-278-0183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 DUNLAWTON AVE",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321272917",
"telephone_number": "386-561-9026",
"fax_number": "828-800-9933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARADISE FAMILY PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-18",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "CASSIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-405-7375"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.