Active NPI
Kara N Cordova Vazquez
- Certified Registered Nurse Anesthetist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11010149
- Practice address
- 655 W 8TH St
Jacksonville, FL 32209-6511 - Phone
- (304) 244-0411
- NPI assigned
- Sep 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | X | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 11010149 | FL | Primary |
Addresses
Primary practice location
655 W 8TH St
Jacksonville, FL 32209-6511
Mailing address
5144 Eulace Rd
Jacksonville, FL 32210-7927
Phone (904) 930-8533
Other practice location 1
3625 University Blvd S
Jacksonville, FL 32216-4222
Phone (904) 702-6088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (904) 399-6111
Hospital & facility affiliations
- HCA Florida Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.59 of 100
- Quality
- 59.93
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11010149 | FL | MD | Certified Registered Nurse Anesthetist |
| X | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Sunshine State Anesthesia Partners LLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients |
Locations
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1699935965
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1801401641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5144 EULACE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322107927",
"telephone_number": "904-930-8533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 W 8TH ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096511",
"telephone_number": "304-244-0411"
}
],
"practiceLocations": [
{
"address_1": "3625 University Blvd S",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322164222",
"country_code": "US",
"telephone_number": "904-702-6088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORDOVA VAZQUEZ",
"first_name": "KARA",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-09",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "X",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11010149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.