Sandra Loren Early, AGPCNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11010433 Issued in FL

Practice address

6117 Trouble Creek Rd
New Port Richey, FL 34653-5240

Phone

(800) 561-4883

NPI assigned

Nov 9, 2017

Last updated

Aug 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Sandra Loren Smith Former name

Medicare fee-for-service enrollment

Enrolled in TN, FL2 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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gulfside Palliative Care, LLCGroup PAC ID 3678611837, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gulfside Hospice, Inc Hospice, Land O Lakes, FL, CCN 101532
• HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gulfside Palliative Care, LLC

  • Case Manager/Care Coordinator
  • Zephyrhills, FL
  • NPI 1750531489
  Medicare reassignment Care Compare group NPD
• Gulfside Hospice, Inc.

  • Community Based Hospice Care Agency
  • Land O' Lakes, FL
  • NPI 1144328881
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gulfside Hospice, Inc.

  • Community Based Hospice Care Agency
  • Land O' Lakes, FL
  • NPI 1144328881
  Care Compare affiliation
• New Port Richey Hospital Inc

  dba HCA Florida Trinity Hospital

  • General Acute Care Hospital
  • Trinity, FL
  • NPI 1891741849
  Care Compare affiliation

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1053824334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6117 TROUBLE CREEK RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346535240",
            "telephone_number": "727-845-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6117 TROUBLE CREEK RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346535240",
            "telephone_number": "800-561-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLY",
        "first_name": "SANDRA",
        "middle_name": "LOREN",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "23453",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11010433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "SMITH",
            "middle_name": "LOREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Ann Dyjak
• Adisa Dzudza-Sunjic, MD
• E Pay Solutions LLC
• E-Motion Solution LLC
• Maranda Earl, APRN
• Amanda Easton
• Eb Drugs Inc (Ed's Family Friendly Pharmacy)
• Echo Heart Imaging Services
• Kenaya M Edghill, LCSW
• Edith Keller

• Nurse Practitioner in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.