Kirstyn Shea Cassidy, RN is a
Family Medicine - Adult Medicine based in Tampa, Florida. Kirstyn Shea Cassidy is licensed to practice in Florida (license number APRN11037018) and her current practice location is
5438 W Tyson Ave, Tampa, Florida. She can be reached at her office (for appointments etc.) via phone at
(757) 660-7892.
NPI number for Kirstyn Shea Cassidy is 1053807255 and her current mailing address is 5438 W Tyson Ave, Tampa, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053807255.
Provider's Profile
| Full Name | Kirstyn Shea Cassidy |
|---|
| Gender | Female |
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| Speciality | Family Medicine - Adult Medicine |
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| Location | 5438 W Tyson Ave, Tampa, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053807255
- Provider Enumeration Date: 07/11/2018
- Last Update Date: 07/03/2026
Medical Identifiers
Medical identifiers for Kirstyn Shea Cassidy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053807255 | NPI | - | NPPES |
| RN691716 | Other | PA | RN LICENSE |
| APRN11037018 | Other | FL | APRN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | RN9692014 (Florida) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | APRN11037018 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kirstyn Shea Cassidy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kirstyn Shea Cassidy, RN 5438 W Tyson Ave, Tampa, FL 33611-3878 Ph: (757) 660-7892 | Kirstyn Shea Cassidy, RN 5438 W Tyson Ave, Tampa, FL 33611-3878 Ph: (757) 660-7892 |
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