Individual provider Active NPI

Sharon Arboleda

  • Skilled Nursing Facility
  • Merritt Island, FL
National Provider Identifier
1023473972
Registry record updated Dec 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
13535 Issued in FL
Practice address
227 Lake Shore Dr
Merritt Island, FL 32953-7961
Phone
(321) 514-3028
NPI assigned
Dec 19, 2015
Last updated
Dec 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 13535 FL Primary

Addresses

Primary practice location

227 Lake Shore Dr
Merritt Island, FL 32953-7961

Mailing address

227 Lake Shore Dr
Merritt Island, FL 32953-7961
Phone (321) 514-3028

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

State licenses

LicenseStateTypeSpecialty
13535FLMDSkilled Nursing Facility

NPI Registry JSON

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

{
    "created_epoch": "1450483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450483200000",
    "number": "1023473972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 LAKE SHORE DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329537961",
            "telephone_number": "321-514-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 LAKE SHORE DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329537961",
            "telephone_number": "321-514-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARBOLEDA",
        "first_name": "SHARON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-19",
        "last_updated": "2015-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "13535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2015; 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.