Sarasota Manatee Geriatrics LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

ARNP3186252 Issued in FL

Legal business name

SARASOTA MANATEE GERIATRICS LLC

Practice address

5120 Canterbury Dr
Sarasota, FL 34243-4705

Phone

(206) 919-1593

NPI assigned

May 30, 2012

Last updated

Jan 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Renee Hope Fletcher, ARNPNPI 1477562601

Title

Arnp

Phone

(206) 919-1593

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Renee Hope Fletcher, ARNP

  • Gerontology Nurse Practitioner
  • Sarasota, FL
  • NPI 1477562601
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1013278662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8466 LOCKWOOD RIDGE RD",
            "address_2": "NUM 160",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432951",
            "telephone_number": "941-228-0270",
            "fax_number": "941-460-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 CANTERBURY DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342434705",
            "telephone_number": "206-919-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARASOTA MANATEE GERIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "206-919-1593",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP3186252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gerontology Nurse Practitioner in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.