Individual provider Active NPI

Sandra Joy Millard, RN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1013219856
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 2030392 Issued in FL
Practice address
3800 Citibank Ctr
Building C 1St Floor
Tampa, FL 33610-9559
Phone
(813) 604-4333
Fax
(813) 604-4337
NPI assigned
Nov 30, 2010
Last updated
Nov 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 2030392 FL Primary

Addresses

Primary practice location

3800 Citibank Ctr
Building C 1St Floor
Tampa, FL 33610-9559

Mailing address

3800 Citibank Ctr
Building C 1St Floor
Tampa, FL 33610-9559
Phone (813) 604-4333

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP 2030392FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1013219856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 CITIBANK CTR",
            "address_2": "BUILDING C 1ST FLOOR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109559",
            "telephone_number": "813-604-4333",
            "fax_number": "813-604-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 CITIBANK CTR",
            "address_2": "BUILDING C 1ST FLOOR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109559",
            "telephone_number": "813-604-4333",
            "fax_number": "813-604-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLARD",
        "first_name": "SANDRA",
        "middle_name": "JOY",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 2030392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.