Active NPI
Cassandra Nicole List
- Certified Registered Nurse Anesthetist
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9463521
- Practice address
- 2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969 - Phone
- (561) 292-4663
- NPI assigned
- Jun 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 9463521 | FL | Primary |
Addresses
Primary practice location
2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969
Mailing address
10968 NW 3Rd St
Coral Springs, FL 33071-8116
Phone (954) 376-1709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone (561) 798-8505
1715 SE Tiffany Ave
Port St Lucie, FL 34952-7511
Phone (772) 335-7005
401 NW 42ND Ave
Plantation, FL 33317-2835
Phone (954) 587-5010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9463521 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port St Lucie Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Current | Accepting new patients | |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Current | Accepting new patients | |
| Greater Florida Anesthesiologists, LLC | Current | Accepting new patients | |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
1715 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 335-3939
460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333
900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209
2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Port St Lucie, FL
- NPI 1215441134
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1942519657
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Safety Harbor, FL
- NPI 1528630795
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1760054019
-
- Anesthesiology Physician
- Boynton Beach, FL
- NPI 1245802784
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499212800000",
"number": "1649700907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10968 NW 3RD ST",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330718116",
"telephone_number": "954-376-1709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 S SEACREST BLVD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334357969",
"telephone_number": "561-292-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIST",
"first_name": "CASSANDRA",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2017-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9463521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
- Lisa Cicetti Psy.D., LMHC Inc.
- Lisa Cicetti PSYD LMHC Inc.
- Lisa M Feldman DMD PA (Dr. Lisa Pediatric Dentistry)
- Lisa Salcedo LCSW PA
- Jeffrey Bert Lissauer, D.M.D.
- Little Connections Therapy LLC
- Little Smiles Dental Office # 3
- Live Better Family Counseling Services
- Live Healthcare Group LLC
- Live Now Psychiatry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; 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.