Individual provider Active NPI

Courtney M. Cardisco, CRNA

  • Certified Registered Nurse Anesthetist
  • Tampa, FL
National Provider Identifier
1821457052
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9427411 Issued in FL
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

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20160917000424 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486941531 Reassigns benefits to 3 organizations

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
Amsurg Tampa Bay Anesthesia LLCGroup PAC ID 3678742335, 10 clinicians

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

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc CurrentSince Nov 2, 2023 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Nov 2, 2023 Accepting new patients
Disco Anesthesia LLC Current Accepting new patients
Anesthesiology Professional Services, Inc. CurrentSince Mar 17, 2022 Accepting new patients
American Anesthesiology Services of Florida, Inc. CurrentSince Jun 1, 2018 Accepting new patients
Baycare Medical Group, Inc. Current Accepting new patients
Amsurg Tampa Bay Anesthesia LLC CurrentSince Mar 1, 2022 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.