Individual provider Active NPI

Catherine Wales-Schaaf, ARNP,CNM

  • Women's Health Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1639377187
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
FL1057352 Issued in FL
Practice address
815 S Parsons Ave
Brandon, FL 33511-6063
Phone
(813) 571-2777
Fax
(813) 571-2888
NPI assigned
Jul 6, 2007
Last updated
Mar 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X FL1057352 FL Primary

Addresses

Primary practice location

815 S Parsons Ave
Brandon, FL 33511-6063

Mailing address

2525 Gulf City Rd
Lot 38
Ruskin, FL 33570-2715
Phone (813) 571-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
FL1057352FLMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1639377187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 GULF CITY RD",
            "address_2": "LOT 38",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335702715",
            "telephone_number": "813-571-2777",
            "fax_number": "813-571-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116063",
            "telephone_number": "813-571-2777",
            "fax_number": "813-571-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALES-SCHAAF",
        "first_name": "CATHERINE",
        "credential": "ARNP,CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "FL1057352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.