Individual provider Active NPI

Catherine C Paradiso, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Punta Gorda, FL
National Provider Identifier
1790089035
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9235068 Issued in FL
Practice address
25097 Olympia Ave Ste 205
Punta Gorda, FL 33950-3912
Phone
(941) 637-5777
Fax
(941) 347-7702
NPI assigned
Dec 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9235068 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9235068 FL Primary

Addresses

Primary practice location

25097 Olympia Ave Ste 205
Punta Gorda, FL 33950-3912

Mailing address

25097 Olympia Ave Ste 205
Punta Gorda, FL 33950-3912
Phone (941) 347-8341

Other identifiers 1

IdentifierTypeStateIssuer
11068500MedicaidFL

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
I20110412000772 FL Practitioner - Nurse Practitioner 7911181169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paradise Behavioral Health, LLCGroup PAC ID 9234493743, 5 clinicians

Practice addresses (Care Compare)

25097 Olympia Ave
Suite 201
Punta Gorda, FL 33950-3914
Phone (941) 347-8341

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9235068FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paradise Behavioral Health, LLC CurrentSince May 1, 2021 Accepting new patients
Hni Medical Services of Florida, LLC Psychiatric/Mental Health CurrentSince Jan 1, 2019 Accepting new patients
Florida Department of Health Past Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

9241 Park Royal Dr
Fort Myers, FL 33908
Phone (239) 985-2700

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

25097 Olympia Ave
Ste 205
Punta Gorda, FL 33950
Phone (941) 347-8341

25097 Olympia Ave
Ste 201
Punta Gorda, FL 33950
Phone (941) 347-8341

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

29910 State Road 56
Wesley Chapel, FL 33543
Phone (813) 333-0000

7500 Rialto Blvd
Ste 1-140
Austin, TX 78735

Interoperability endpoints

  • Direct secure messaging: paradisebehavioralhealth.catherineparadiso@138295.advancedmd-direct.com

Organizations & group practices 3

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": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1790089035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25097 OLYMPIA AVE STE 205",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503912",
            "telephone_number": "941-347-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25097 OLYMPIA AVE STE 205",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503912",
            "telephone_number": "941-637-5777",
            "fax_number": "941-347-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARADISO",
        "first_name": "CATHERINE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-30",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9235068",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9235068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11068500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.