Active NPI
Michelle Marie Caucci
- Gerontology Nurse Practitioner
- Sarasota, FL
National Provider Identifier
1861247330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 11029100
- Practice address
- 2970 University Pkwy
Sarasota, FL 34243-2401 - Phone
- (800) 605-3182
- NPI assigned
- Apr 18, 2024
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 11029100 | FL | Primary |
Addresses
Primary practice location
2970 University Pkwy
Sarasota, FL 34243-2401
Mailing address
6311 113TH Ter E
Parrish, FL 34219-3710
Phone (941) 725-9858
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11029100 | FL | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1861247330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6311 113TH TER E",
"city": "PARRISH",
"state": "FL",
"postal_code": "342193710",
"telephone_number": "941-725-9858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2970 UNIVERSITY PKWY",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342432401",
"telephone_number": "800-605-3182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUCCI",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-18",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "11029100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
- Ann Marie Catania, CRNA
- Catherine M Oconnell M D P a
- Catholic Charities of the Diocese of Venice Inc
- Cathy P Milam MD PA
- Stephanie Catoni, DMD
- Cauffield and Associates, LLC (Anchor Behavioral Healthcare)
- Anthony Cavalli, D.O.
- Angela G Cavallo, CRNA
- CB Medical LLC (Suncoast Healthcare of Sarasota)
- CB Stress Management LLC (Cinthya's Skin and Body Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.