Individual provider Active NPI

Cattaleeya Chantaros, APRN

  • Gerontology Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1669953162
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN936301 Issued in FL
Practice address
3101 W Dr Martin Luther King Jr Blvd Ste 125
Tampa, FL 33607-6243
Phone
(813) 879-4328
NPI assigned
Aug 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN936301 FL Primary

Addresses

Primary practice location

3101 W Dr Martin Luther King Jr Blvd Ste 125
Tampa, FL 33607-6243

Mailing address

2995 Drew St
Clearwater, FL 33759-3012
Phone (727) 315-6775

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Cattaleeya.Chantrosaprn@direct.mybaycare.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NM, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190226001181 FL Practitioner - Nurse Practitioner 9234478827 Reassigns benefits to 2 organizations
I20200722001700 NM Practitioner - Nurse Practitioner 9234478827 Reassigns benefits to 1 organization
I20250805002933 CT Practitioner - Nurse Practitioner 9234478827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unm Medical Group IncGroup PAC ID 4981795267, 1,052 clinicians
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2111

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 321-6589

3003 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14775CTMDPhysical Therapist
APRN9363001FLMDNurse Practitioner
59910NMMDNurse Practitioner
CNP59910NMMDNurse Practitioner
APRN936301FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc CurrentSince Aug 12, 2022 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Aug 12, 2022 Accepting new patients
Baycare Medical Group, Inc. Nurse Practitioner Current Accepting new patients
Neurospine, LLC CurrentSince Oct 1, 2018 Accepting new patients
Unm Medical Group, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Unm Medical Group Inc CurrentSince Jun 1, 2020 Accepting new patients
Northeast Medical Group, Inc. Nurse Practitioner CurrentSince Aug 11, 2025 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Aug 11, 2025 Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

2995 Drew St
Clearwater, FL 33759
Phone (727) 315-7496

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

8468 Northcliffe Blvd
Spring Hill, FL 34606
Phone (352) 556-4823

8355 Northcliffe Blvd
Spring Hill, FL 34606
Phone (352) 684-2929

4321 N Macdill Ave
Ste 407
Tampa, FL 33607
Phone (813) 554-8690

2727 W Mlk Blvd
Ste 460
Tampa, FL 33607
Phone (813) 879-4328

800 Bradbury Dr SE
Ste 116
Albuquerque, NM 87106
Phone (505) 272-1476

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

3001 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone (505) 994-7000

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Interoperability endpoints

  • Direct secure messaging: cattaleeya.chantarosaprn@direct.mybaycare.org
  • Direct secure messaging: cattaleeya.chantrosaprn@direct.mybaycare.org
  • Direct secure messaging: ccattaleeya323207@ahs.direct-ci.com
  • Direct secure messaging: cchantaros732968@direct.ynhh.org

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1669953162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-315-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W DR MARTIN LUTHER KING JR BLVD STE 125",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076243",
            "telephone_number": "813-879-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANTAROS",
        "first_name": "CATTALEEYA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN936301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cattaleeya.Chantrosaprn@direct.mybaycare.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3101 W Dr Martin Luther King Jr Blvd Ste 125",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336076243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.