Individual provider Active NPI

Regla Maria Casola, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1689086647
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9214124 Issued in FL
Practice address
14285 SW 42ND St Ste 205-207
Miami, FL 33175-6410
Phone
(305) 551-2165
Fax
(786) 621-7812
NPI assigned
May 27, 2014
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9214124 FL Primary

Addresses

Primary practice location

14285 SW 42ND St Ste 205-207
Miami, FL 33175-6410

Mailing address

6100 Blue Lagoon Dr Ste 365
Miami, FL 33126-7010
Phone (786) 322-7333

Other identifiers 2

IdentifierTypeStateIssuer
9214124OtherFLREGISTERED NURSE LICENSE NO.
014504600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address regla.casola@cmg.eclinicaldirectplus.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150611002142 FL Practitioner - Nurse Practitioner 5597086850 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Group of Kendall, LLC. CurrentSince Oct 2, 2022 Accepting new patients
Access Medical Group of Perrine, LLC. CurrentSince Mar 9, 2015 Accepting new patients

Locations

12320 Quail Roost Dr
Miami, FL 33177
Phone (786) 237-3070

14285 SW 42nd St
Ste 205
Miami, FL 33175
Phone (305) 551-2165

14285 SW 42nd St
Ste 205207
Miami, FL 33175
Phone (305) 551-2165

20001 SW 127th Ave
Miami, FL 33177
Phone (305) 406-2069

6100 Blue Lagoon Dr
Ste 365
Miami, FL 33126
Phone (786) 322-7333

Interoperability endpoints

  • Direct secure messaging: regla.casola@cmg.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1689086647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BLUE LAGOON DR STE 365",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331267010",
            "telephone_number": "786-322-7333",
            "fax_number": "786-347-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14285 SW 42ND ST STE 205-207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756410",
            "telephone_number": "305-551-2165",
            "fax_number": "786-621-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASOLA",
        "first_name": "REGLA",
        "middle_name": "MARIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9214124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE NO.",
            "identifier": "9214124",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014504600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "regla.casola@cmg.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "health information has changed",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "14285 SW 42nd St Ste 205-207",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331756410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.