ANDREW CAUDLE NPI 1972195048

NPI Information

  • NPI: 1972195048
  • Provider Name: ANDREW CAUDLE
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 301 MEMORIAL MEDICAL PKWY
    DAYTONA BEACH, FL
    ZIP 32117
  • Phone: (386) 231-1500

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NPI Details

Andrew Caudle is a gerontology nurse practitioner in Daytona Beach, FL with 1 years of experience. Andrew Caudle NPI is 1972195048. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL
ZIP 32117-167
Phone: (386) 231-1500
Fax: (386) 231-1598

The NPI 1972195048 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/9/2021 and was last updated on 10/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticNo
2363LG0600XNurse PractitionerGerontologyAPRN11040092FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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