Individual provider Active NPI

Sophia Nieto, APRN

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1043074925
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11030711 Issued in FL
Practice address
5308 Ashton Manor Dr
Sarasota, FL 34233-5213
Phone
(941) 879-3473
NPI assigned
Feb 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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 APRN11030711 FL Primary

Addresses

Primary practice location

5308 Ashton Manor Dr
Sarasota, FL 34233-5213

Mailing address

5308 Ashton Manor Dr
Sarasota, FL 34233-5213
Phone (941) 879-3473

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
I20250515000109 FL Practitioner - Nurse Practitioner 4284152117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Paxton Medical ManagementGroup PAC ID 7214349737, 5 clinicians

Practice addresses (Care Compare)

14279 Tamiami TRL
North Port, FL 34287-2215
Phone (941) 263-2050

Hospital & facility affiliations

  • Patients First Home Care LLC Home health agency, Sarasota, FL, CCN 687176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11030711FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paxton Medical Management CurrentSince Mar 17, 2025 Accepting new patients
Paxton Medical Management CurrentSince Mar 17, 2025 Accepting new patients

Locations

1951 S McCall Rd
Ste 700
Englewood, FL 34223
Phone (941) 205-0520

1951 S McCall Rd
Englewood, FL 34223
Phone (941) 205-0520

14279 Tamiami Trl
North Port, FL 34287
Phone (941) 205-0520

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEHCCD/Endpoint/IEHCCD

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1043074925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 ASHTON MANOR DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335213",
            "telephone_number": "941-879-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 ASHTON MANOR DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335213",
            "telephone_number": "941-879-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETO",
        "first_name": "SOPHIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11030711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.