Active NPI
Sarah Bowermaster
- Pediatric Nurse Practitioner
- Boca Raton, FL
National Provider Identifier
1003341595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP9393690
- Practice address
- 2901 Clint Moore Rd Ste 2
Boca Raton, FL 33496-2039 - Phone
- (844) 799-0538
- NPI assigned
- Apr 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP9393690 | FL | Primary |
Addresses
Primary practice location
2901 Clint Moore Rd Ste 2
Boca Raton, FL 33496-2039
Mailing address
4696 66TH PL N
Pinellas Park, FL 33781-5269
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9393690 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics | Pediatrics | Past | Accepting new patients |
| Blue Wave Medical Associates, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EGBCDD/Endpoint/EGBCDD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Clearwater, FL
- NPI 1760167233
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1578640181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1003341595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4696 66TH PL N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337815269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 CLINT MOORE RD STE 2",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334962039",
"telephone_number": "844-799-0538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERMASTER",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-22",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP9393690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.