Provider Demographics
NPI:1508820515
Name:CASCIO, RACHEL ANNE (APRN)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANNE
Last Name:CASCIO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ANNE
Other - Last Name:LEONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:10150 HIGHLAND MANOR DR STE 205
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-9727
Mailing Address - Country:US
Mailing Address - Phone:813-259-1013
Mailing Address - Fax:813-254-0396
Practice Address - Street 1:10150 HIGHLAND MANOR DR STE 205
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-9727
Practice Address - Country:US
Practice Address - Phone:813-259-1013
Practice Address - Fax:813-254-0396
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9463273-4405363L00000X
FLARNP9247121363LA2100X
PAUP006899M363LA2100X
MO2014027724363LA2100X
FLAPRN9247121363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAUP006899MOtherCRNP LICENSE
PAP43786Medicare UPIN
ML1016674OtherDEA NUMBER
PA052379NPVMedicare ID - Type Unspecified
PA001962OtherCRNP PRESCRIPTIVE APPROVA
PARN506883LOtherRN LICENSE
52379Medicare PIN