Individual provider Active NPI

Cavell Venesha Satchell, NP-C

  • Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1841718756
Registry record updated Jan 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9340753 Issued in FL
Practice address
325 Cypress Pkwy
Kissimmee, FL 34759-3326
Phone
(407) 530-2000
Fax
(407) 530-2040
NPI assigned
Aug 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2022

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 APRN9340753 FL Primary

Addresses

Primary practice location

325 Cypress Pkwy
Kissimmee, FL 34759-3326

Mailing address

2517 Annacella Ave
Kissimmee, FL 34741-7959
Phone (321) 682-8473

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180220000395 FL Practitioner - Nurse Practitioner 4385905157 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9340753FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
My Home Doctor, LLC Nurse Practitioner Past Accepting new patients
Osceola Surgical Associates LLC PastSince Dec 1, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641081600000",
    "number": "1841718756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 ANNACELLA AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417959",
            "telephone_number": "321-682-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CYPRESS PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593326",
            "telephone_number": "407-530-2000",
            "fax_number": "407-530-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATCHELL",
        "first_name": "CAVELL",
        "middle_name": "VENESHA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9340753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.