Individual provider Active NPI

Cara Suzanne Rush, PA

  • Surgical Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1679655310
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9102099 Issued in FL
Practice address
900 Carillon Pkwy
Suite 311
St Petersburg, FL 33716-1115
Phone
(727) 573-5626
Fax
(727) 573-5627
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9102099 FL Primary

Addresses

Primary practice location

900 Carillon Pkwy
Suite 311
St Petersburg, FL 33716-1115

Mailing address

900 Carillon Pkwy
Suite 311
St Petersburg, FL 33716-1115
Phone (727) 573-5626

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
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1679655310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CARILLON PKWY",
            "address_2": "SUITE 311",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161115",
            "telephone_number": "727-573-5626",
            "fax_number": "727-573-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CARILLON PKWY",
            "address_2": "SUITE 311",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161115",
            "telephone_number": "727-573-5626",
            "fax_number": "727-573-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "CARA",
        "middle_name": "SUZANNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9102099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.