Raphael Sanders, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5182360 Issued in FL

Practice address

11150 4TH St N
#4502
St Petersburg, FL 33716-2914

Phone

(813) 793-1579

NPI assigned

Aug 30, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1063793578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 4TH ST N",
            "address_2": "#4502",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337162914",
            "telephone_number": "813-793-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 4TH ST N",
            "address_2": "#4502",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337162914",
            "telephone_number": "813-793-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "RAPHAEL",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5182360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Sanchez, M.D.
• Stephanie L Sanchez
• David A Sandefur, D.C.
• Henry Sanders, D.O. MPH
• Kierstin Sanders, PT, DPT, ATC, LAT
• Terry D Sandman, DC
• Jane Park Sando, M.D.
• Maria Susana Sandoval, MD
• Bernita K Sands, MD
• Jessica Sands, DNP, APRN, FNP-C

• Licensed Practical Nurse in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.