Individual provider Active NPI

Sonya Ivanova, PA-C

  • Physician Assistant
  • Sarasota, FL
National Provider Identifier
1083477822
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9118326 Issued in FL
Practice address
1540 S Tamiami TRL Ste 401
Sarasota, FL 34239-2921
Phone
(941) 917-0060
NPI assigned
Feb 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9118326 FL Primary

Addresses

Primary practice location

1540 S Tamiami TRL Ste 401
Sarasota, FL 34239-2921

Mailing address

1540 S Tamiami TRL Ste 401
Sarasota, FL 34239-2921
Phone (941) 917-0060

Other practice location 1

901 Venetia Bay Blvd Ste 200
Venice, FL 34285-8046
Phone (941) 837-2922

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
I20240520001110 FL Practitioner - Physician Assistant 1658712849 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9118326FLMDPhysician Assistant

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1083477822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 S TAMIAMI TRL STE 401",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392921",
            "telephone_number": "941-917-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 S TAMIAMI TRL STE 401",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392921",
            "telephone_number": "941-917-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Venetia Bay Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342858046",
            "country_code": "US",
            "telephone_number": "941-837-2922",
            "fax_number": "941-444-2992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVANOVA",
        "first_name": "SONYA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9118326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.