Individual provider Active NPI

Nastassia G Baltodano

  • Anesthesiologist Assistant
  • Trinity, FL
National Provider Identifier
1972157824
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
AA517 Issued in FL
Practice address
9330 State Road 54
Trinity, FL 34655-1808
Phone
(727) 834-4000
NPI assigned
Jul 30, 2019
Last updated
Jan 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X NU
Anesthesiologist Assistant 367H00000X AA517 FL Primary

Addresses

Primary practice location

9330 State Road 54
Trinity, FL 34655-1808

Mailing address

2802 SW 67TH LN
Miramar, FL 33023-4808
Phone (954) 643-5679

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL trinity

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200213000868 FL Practitioner - Anesthesiology Assistant 5698101541 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

22 Underwood St
Orlando, FL 32806-1110
Phone (954) 939-5000

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

2901 B Swann Ave
Tampa, FL 33609-4056
Phone (813) 873-6400

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 321-6589

3003 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307

52 Underwood St
Orlando, FL 32806-1110
Phone (954) 939-5000

83 W Miller St
Orlando, FL 32806-2031
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Current Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Oct 15, 2019 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Oct 15, 2019 Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Feb 28, 2021 Accepting new patients
Anesthesiologists of Greater Orlando Inc Current Accepting new patients
Baycare Medical Group, Inc CurrentSince Jan 27, 2025 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Jan 27, 2025 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiologist Assistant Current Accepting new patients
Anesthesiologists of Greater Orlando Inc CurrentSince Sep 15, 2021 Accepting new patients
Anesthesiologists of Greater Orlando Inc Anesthesiologist Assistant CurrentSince Sep 15, 2021 Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

380 Rinehart Rd
Lake Mary, FL 32746
Phone (321) 842-0550

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

22 Underwood St
Orlando, FL 32806
Phone (321) 841-6263

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

2901 W Swann Ave
Tampa, FL 33609
Phone (813) 783-6400

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793

Networks

  • Freedom Health HMO Network

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1972157824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 SW 67TH LN",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330234808",
            "telephone_number": "954-643-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 STATE ROAD 54",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551808",
            "telephone_number": "727-834-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTODANO",
        "first_name": "NASTASSIA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "FL",
            "license": "AA517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "trinity",
            "affiliation": "N",
            "address_1": "9330 State Road 54",
            "city": "Trinity",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346551808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.