Individual provider Active NPI

Cassandra Bukaty, APRN

  • Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1801669114
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11029130 Issued in FL
Practice address
690 Jamestown Blvd Apt 2251
Altamonte Springs, FL 32714-4694
Phone
(315) 350-0810
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11029130 FL Primary

Addresses

Primary practice location

690 Jamestown Blvd Apt 2251
Altamonte Springs, FL 32714-4694

Mailing address

690 Jamestown Blvd Apt 2251
Altamonte Springs, FL 32714-4694
Phone (315) 350-0810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11029130FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1801669114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 JAMESTOWN BLVD APT 2251",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144694",
            "telephone_number": "315-350-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 JAMESTOWN BLVD APT 2251",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144694",
            "telephone_number": "315-350-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKATY",
        "first_name": "CASSANDRA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11029130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.