Individual provider Active NPI

Sandra Christine Milton, PA-C

  • Physician Assistant
  • JBLM, WA
National Provider Identifier
1013289370
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
Bas, 110TH Chemical BN (Te)
BLDG 16122 D Street
JBLM, WA 98433
Phone
(253) 477-4830
NPI assigned
Feb 2, 2012
Last updated
Feb 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

Bas, 110TH Chemical BN (Te)
BLDG 16122 D Street
JBLM, WA 98433

Mailing address

4632 Durham St SE
Lacey, WA 98503
Phone (253) 448-1248

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
I20230224001115 FL Practitioner - Physician Assistant 2163852567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solantic of Jacksonville LLCGroup PAC ID 1052409307, 56 clinicians

Practice addresses (Care Compare)

12303 San Jose Blvd
Jacksonville, FL 32223-2640
Phone (615) 600-4074

1544 County Rd
220 Suite 100
Orange Park, FL 32003-4991
Phone (904) 830-9009

1708 Blanding Blvd
Middleburg, FL 32068-3836
Phone (615) 600-4074

2032 Dunn Ave
Jacksonville, FL 32218-4716
Phone (615) 600-4074

2401 Monument Rd
Jacksonville, FL 32225-2520
Phone (904) 642-0337

4498 Hendricks Ave
Jacksonville, FL 32207-6326
Phone (615) 600-4074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4077TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Solantic of Jacksonville, LLC CurrentSince Dec 15, 2025 Accepting new patients
Solantic of Jacksonville, LLC PastSince Sep 5, 2021 Accepting new patients

Locations

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

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.

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1013289370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4632 DURHAM ST SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "98503",
            "telephone_number": "253-448-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAS, 110TH CHEMICAL BN (TE)",
            "address_2": "BLDG 16122 D STREET",
            "city": "JBLM",
            "state": "WA",
            "postal_code": "98433",
            "telephone_number": "253-477-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILTON",
        "first_name": "SANDRA",
        "middle_name": "CHRISTINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in JBLM, WA

Sources for this page

Verify at the official NPI Registry.