Individual provider Active NPI

Susana Cardoso

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1770037202
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9321404 Issued in FL
Practice address
14075 Town Loop Blvd
Orlando, FL 32837-6132
Phone
(407) 438-5858
Fax
(407) 438-7172
NPI assigned
Aug 13, 2016
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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 APRN9321404 FL Primary

Addresses

Primary practice location

14075 Town Loop Blvd
Orlando, FL 32837-6132

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (844) 630-0700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address susana.cardoso.1@29601.direct.athenahealth.com Direct

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
I20161221000062 FL Practitioner - Nurse Practitioner 8820379316 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

14075 Town Loop Blvd
Orlando, FL 32837-6132
Phone (407) 438-5858

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9321404FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Dade Primary Care, LLC CurrentSince Aug 1, 2023 Accepting new patients
Florida Doctors Group, Corp. CurrentSince Dec 1, 2016 Accepting new patients
Centerwell Senior Primary Care FL Inc Current Accepting new patients
Conviva Medical Center Management LLC CurrentSince Jun 9, 2025 Accepting new patients
Centerwell Senior Primary Care (FL) Inc. CurrentSince Jun 25, 2025 Accepting new patients
Psyche Harmony Group, LLC. PastSince Feb 4, 2024 Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Past Accepting new patients

Locations

2100 Ponce de Leon Blvd
Ste 1240
Coral Gables, FL 33134
Phone (305) 987-1007

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

1050 Cypress Pkwy
Kissimmee, FL 34759
Phone (407) 483-1400

904B Cypress Pkwy
Kissimmee, FL 34759
Phone (407) 483-1400

485 S Ronald Reagan Blvd
Longwood, FL 32750
Phone (407) 834-4849

1000 NW 57th Ct
Ste 400
Miami, FL 33126

11211 SW 152nd St
Miami, FL 33157
Phone (305) 255-1355

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

14750 NW 77th Ct
Ste 100
Miami Lakes, FL 33016
Phone (786) 485-1005

5801 Miami Lakes Dr E
Miami Lakes, FL 33014
Phone (305) 821-9115

14075 Town Loop Blvd
Orlando, FL 32837
Phone (407) 438-5858

3345 Burns Rd
Ste 302
Palm Beach Gardens, FL 33410
Phone (561) 622-4047

9835 E Hibiscus St
Palmetto Bay, FL 33157
Phone (305) 238-8561

509 SE Riverside Dr
Ste 300
Stuart, FL 34994
Phone (772) 288-5897

4700 N Habana Ave
Ste 403
Tampa, FL 33614
Phone (813) 876-9553

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15805/brand/1/csg/1/fhir/r4
  • Direct secure messaging: susana.cardoso.1@29601.direct.athenahealth.com

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, 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": "1471046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1770037202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "844-630-0700",
            "fax_number": "877-374-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14075 TOWN LOOP BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376132",
            "telephone_number": "407-438-5858",
            "fax_number": "407-438-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDOSO",
        "first_name": "SUSANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-13",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9321404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susana.cardoso.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14075 Town Loop Blvd",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328376132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.