Active NPI
Courtney M. Cardisco, CRNA
- Certified Registered Nurse Anesthetist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9427411
- Practice address
- 3001 W. Dr. Martin Luther King Jr. Blvd.
Tampa, FL 33607-6307 - Phone
- (813) 350-7244
- Fax
- (813) 350-7246
- NPI assigned
- Feb 16, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9427411 | FL | Primary |
Addresses
Primary practice location
3001 W. Dr. Martin Luther King Jr. Blvd.
Tampa, FL 33607-6307
Mailing address
P.O. Box 551420
Fort Lauderdale, FL 33355-1420
Phone (800) 243-3839
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4809 N Armenia Ave
Suite 100
Tampa, FL 33603-1436
Phone (813) 872-9310
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Disco Anesthesia LLC | Current | Accepting new patients | |
| Anesthesiology Professional Services, Inc. | Current | Accepting new patients | |
| American Anesthesiology Services of Florida, Inc. | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Amsurg Tampa Bay Anesthesia LLC | Current | Accepting new patients |
Locations
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000
3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778
3003 W Mlk Blvd
Tampa, FL 33607
Phone (813) 357-0630
4809 N Armenia Ave
Ste 100
Tampa, FL 33603
Phone (813) 872-9310
Interoperability endpoints
- courtney.cardiscocrna@direct.mybaycare.org
Organizations & group practices 7
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
- Tampa, FL
- NPI 1780971713
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Anesthesiology Physician
- Melville, NY
- NPI 1508318387
FL
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1235899451
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1902856891
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1497117329
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468540800000",
"number": "1821457052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 551420",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333551420",
"telephone_number": "800-243-3839",
"fax_number": "855-851-4405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 W. DR. MARTIN LUTHER KING JR. BLVD.",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076307",
"telephone_number": "813-350-7244",
"fax_number": "813-350-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDISCO",
"first_name": "COURTNEY",
"middle_name": "M.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-16",
"last_updated": "2016-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9427411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.