Individual provider Active NPI

Sasha Brooke Thornton, ARNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1013271642
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9292190 Issued in FL
Practice address
3599 University Blvd S
Ste. 504
Jacksonville, FL 32216-4252
Phone
(904) 264-7132
Fax
(904) 264-2609
NPI assigned
Jun 28, 2012
Last updated
Aug 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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 ARNP9292190 FL Primary

Addresses

Primary practice location

3599 University Blvd S
Ste. 504
Jacksonville, FL 32216-4252

Mailing address

1555 Kingsley Ave Ste 201
Orange Park, FL 32073-9202
Phone (904) 264-7132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121001000451 FL Practitioner - Nurse Practitioner 3476702747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Florida College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Coast Infectious Disease Consultants LLCGroup PAC ID 2567551104, 9 clinicians

Practice addresses (Care Compare)

2122 University Blvd S
Jacksonville, FL 32216-8937
Phone (904) 398-5614

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Coast Infectious Disease Consultants LLC CurrentSince Sep 1, 2012 Accepting new patients
First Coast Pediatric Infectious Disease LLC Past Accepting new patients
Georgia Infectious Disease Consultants Past Accepting new patients

Locations

2122 University Blvd S
Jacksonville, FL 32216
Phone (904) 398-5614

3599 University Blvd S
Ste 504
Jacksonville, FL 32216
Phone (904) 398-5614

2035 Professional Center Dr
Ste B
Orange Park, FL 32073
Phone (904) 264-7132

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2841d-FUNyRbAEZPU2fkwLVgAHCA3S2l/
  • FHIR API: https://fhir4.healow.com/fhir/r4/DFGJDD/Endpoint/DFGJDD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1013271642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 KINGSLEY AVE STE 201",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320739202",
            "telephone_number": "904-264-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "STE. 504",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-264-7132",
            "fax_number": "904-264-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "SASHA",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9292190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.