Organization Active NPI

Care Advantage LLC

  • Nurse Practitioner
  • Cocoa Beach, FL
National Provider Identifier
1902297310
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
CARE ADVANTAGE LLC
Practice address
284 S Brevard Ave
Cocoa Beach, FL 32931-2797
Phone
(321) 221-7447
Fax
(321) 221-7448
NPI assigned
Feb 7, 2015
Last updated
May 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Jennifer E Santiago, ARNPNPI 1659622744
Title
Shareholder
Phone
(321) 221-7447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

284 S Brevard Ave
Cocoa Beach, FL 32931-2797

Mailing address

PO Box 540547
Merritt Island, FL 32954-0547
Phone (321) 221-7447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160307002058 FL Part B Supplier - Clinic/Group Practice 8224338090 Receives reassigned benefits from 1 practitioner
Practice locations: Cocoa Beach, FL

National Provider Directory

National Provider Directory

Locations

1790 Highway A1A
Ste 205
Satellite Beach, FL 32937
Phone (321) 221-7447

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1902297310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540547",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329540547",
            "telephone_number": "321-221-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 S BREVARD AVE",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312797",
            "telephone_number": "321-221-7447",
            "fax_number": "321-221-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE ADVANTAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-07",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "321-221-7447",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.