Active NPI
Sundae Herd, R.N
- Registered Nurse
- Lake City, FL
National Provider Identifier
1073934717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN3174212
- Practice address
- 305 NW Brook Loop
Lake City, FL 32055-5096 - Phone
- (386) 365-3637
- NPI assigned
- Dec 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN3174212 | FL | Primary |
Addresses
Primary practice location
305 NW Brook Loop
Lake City, FL 32055-5096
Mailing address
305 NW Brook Loop
Lake City, FL 32055-5096
Phone (386) 365-3637
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN3174212 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387843200000",
"number": "1073934717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 NW BROOK LOOP",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320555096",
"telephone_number": "386-365-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 NW BROOK LOOP",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320555096",
"telephone_number": "386-365-3637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERD",
"first_name": "SUNDAE",
"credential": "R.N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-24",
"last_updated": "2013-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN3174212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake City, FL
- Henry and Rilla White Youth Foundation Inc.
- Henry and Rilla White Youth Foundation, Inc.
- Henry and Rilla White Youth Foundation, Inc.
- Jasmin Henry-Fuller
- Edmund Henry Jr., RPN
- Benjamin Robert Herget, DPT
- Jose Benito Hernandez Pasos, MD
- Ana Flavia Hernandez Perez, DMD
- Joseph Hernandez, MD
- Rosimar Hernandez, RDT-BCT, LCAT, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.