Individual provider Active NPI

Haney Sosa

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1023621091
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11005453 Issued in FL
Practice address
1720 NW 20TH St
Cape Coral, FL 33993-4994
Phone
(239) 308-8918
NPI assigned
Aug 28, 2020
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 360686 NY
Family Nurse Practitioner 363LF0000X 11005453 FL Primary

Addresses

Primary practice location

1720 NW 20TH St
Cape Coral, FL 33993-4994

Mailing address

1720 NW 20TH St
Cape Coral, FL 33993-4994
Phone (239) 308-8918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210607000299 FL Practitioner - Nurse Practitioner 8426458811 Reassigns benefits to 1 organization
I20211229001677 KY Practitioner - Nurse Practitioner 8426458811 Reassigns benefits to 1 organization
I20220428000191 SC Practitioner - Nurse Practitioner 8426458811 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11005453FLMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: hsosa12611@direct-prd.molinahealthcare.com

Organizations & group practices 1

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1023621091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 NW 20TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339934994",
            "telephone_number": "239-308-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 NW 20TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339934994",
            "telephone_number": "239-308-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA",
        "first_name": "HANEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "360686",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.