Individual provider Active NPI

Andrea Michelle Cacciurri, APRN

  • Family Nurse Practitioner
  • Largo, FL
National Provider Identifier
1710544952
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN1000451 Issued in FL
Practice address
1100 Clearwater Largo Rd N
Largo, FL 33770-4131
Phone
(727) 518-6444
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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 APRN1000451 FL Primary

Addresses

Primary practice location

1100 Clearwater Largo Rd N
Largo, FL 33770-4131

Mailing address

6501 5TH Ave N
St Petersburg, FL 33710-6903
Phone (727) 771-5983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191209000069 FL Practitioner - Nurse Practitioner 1759714678 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN1000451FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Behavioral Institute PLC CurrentSince Sep 19, 2022 Accepting new patients
Sinus & Nasal Institute of Florida PA CurrentSince Nov 15, 2019 Accepting new patients

Locations

1100 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 518-6444

550 94th Ave N
St Petersburg, FL 33702
Phone (727) 573-0074

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJEGBA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1710544952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106903",
            "telephone_number": "727-771-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CLEARWATER LARGO RD N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704131",
            "telephone_number": "727-518-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACCIURRI",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN1000451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.