Individual provider Active NPI

Maria Cassola, APRN

  • Family Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1871290692
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11024274 Issued in FL
Practice address
15865 NW 90TH CT
Miami Lakes, FL 33018-6355
Phone
(786) 474-2745
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11024274 FL Primary

Addresses

Primary practice location

15865 NW 90TH CT
Miami Lakes, FL 33018-6355

Mailing address

15865 NW 90TH CT
Miami Lakes, FL 33018-6355
Phone (786) 474-2745

Other names 1

  • Maria de la Caridad Cassola Valdes Other name

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

LicenseStateTypeSpecialty
11024274FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1871290692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15865 NW 90TH CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330186355",
            "telephone_number": "786-474-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15865 NW 90TH CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330186355",
            "telephone_number": "786-474-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSOLA",
        "first_name": "MARIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11024274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA DE LA CARIDAD",
            "last_name": "CASSOLA VALDES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.