Individual provider Active NPI

Laurel E Ciccarello, ARNP

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1790722957
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1426672 Issued in FL
Practice address
237 Payne Pkwy Unit 101
Sarasota, FL 34237-7018
Phone
(941) 893-2556
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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 1426672 FL Primary

Addresses

Primary practice location

237 Payne Pkwy Unit 101
Sarasota, FL 34237-7018

Mailing address

7619 Uliva Way
Sarasota, FL 34238-4797
Phone (813) 924-4787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060213000402 FL Practitioner - Nurse Practitioner 8123033123 Reassigns benefits to 3 organizations
I20120628000070 AZ Practitioner - Nurse Practitioner 8123033123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

3434 Hancock Bridge Pkwy
Suite 301
North Fort Myers, FL 33903-7099

423 Fortress Blvd
Morgantown, WV 26508-1351

PO Box
Franklin, TN 37068-9022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1426672FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dwic of Tampa Bay, Inc. Current Accepting new patients
Millennium Physician Group LLC CurrentSince Feb 27, 2017 Accepting new patients
Millennium Physician Group LLC CurrentSince Feb 27, 2017 Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Sep 26, 2019 Accepting new patients
MD Now Medical Centers Inc CurrentSince Mar 11, 2024 Accepting new patients
Nextcare Arizona I JV LLC Current Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Sep 26, 2019 Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Sep 26, 2019 Accepting new patients
Nextcare Arizona LLC CurrentSince Nov 27, 2012 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Sep 26, 2019 Accepting new patients
MD Now Medical Centers Inc CurrentSince Mar 11, 2024 Accepting new patients
Tampa Bay Radiation Oncology, PA Past Accepting new patients
Heysek & Kepes MDS PA Past Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Locations (25 of 29)

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

13075 W McDowell Rd
Ste D106
Avondale, AZ 85392
Phone (623) 547-0522

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

10240 N 43rd Ave
Ste 3
Glendale, AZ 85302
Phone (623) 742-2060

4401 E McKellips Rd
Ste 102
Mesa, AZ 85215
Phone (480) 550-8204

1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130

20950 N Tatum Blvd
Ste 190
Phoenix, AZ 85050
Phone (480) 476-0021

5920 W McDowell Rd
Phoenix, AZ 85035
Phone (480) 455-2235

1701 E Thomas Rd
Ste A104
Phoenix, AZ 85016
Phone (602) 845-4445

7425 E Shea Blvd
Ste 108
Scottsdale, AZ 85260
Phone (480) 348-1060

2530 W State Route 89A
Ste A
Sedona, AZ 86336
Phone (520) 203-4813

9745 W Bell Rd
Ste 105
Sun City, AZ 85351
Phone (623) 742-2999

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

4280 N Oracle Rd
Ste 100
Tucson, AZ 85705
Phone (520) 887-0095

6238 E Pima St
Tucson, AZ 85712
Phone (520) 290-0022

5369 S Calle Santa Cruz
Ste 145
Tucson, AZ 85706
Phone (520) 573-7500

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

Interoperability endpoints

  • Direct secure messaging: laurel.ciccarello.1@14940.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/_equjXi-I6k5_iN9ulQyh3xNMVDgQ7-w/

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1790722957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7619 ULIVA WAY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342384797",
            "telephone_number": "813-924-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 PAYNE PKWY UNIT 101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342377018",
            "telephone_number": "941-893-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCARELLO",
        "first_name": "LAUREL",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1426672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.