Active NPI
Gerarda Tamara Lascaze, PA-C MMS
- Advanced Practice Midwife
- Miami Shores, FL
National Provider Identifier
1821423575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- PA 9107294
- Practice address
- 9730 NE 2ND Ave
Miami Shores, FL 33138-2311 - Phone
- (305) 758-7979
- Fax
- (305) 758-0034
- NPI assigned
- Sep 12, 2013
- Last updated
- Sep 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | PA 9107294 | FL | Primary |
Addresses
Primary practice location
9730 NE 2ND Ave
Miami Shores, FL 33138-2311
Mailing address
1425 NE 137TH St
North Miami, FL 33161-3513
Phone (786) 406-4486
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9107294 | FL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialist Doctors Group LLC | Current | Accepting new patients |
Locations
210 N Alexander St
Plant City, FL 33563
Phone (813) 719-3525
Networks
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Plant City, FL
- NPI 1487963864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379376000000",
"number": "1821423575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 NE 137TH ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331613513",
"telephone_number": "786-406-4486",
"fax_number": "305-758-7979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9730 NE 2ND AVE",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382311",
"telephone_number": "305-758-7979",
"fax_number": "305-758-0034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASCAZE",
"first_name": "GERARDA",
"middle_name": "TAMARA",
"name_prefix": "Miss",
"credential": "PA-C MMS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-12",
"last_updated": "2013-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "PA 9107294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Shores, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.