Active NPI
Jane Lesley Sparrow-Bodenmiller, R.N. C.D.E.
- Diabetes Educator Registered Nurse
- Miami, FL
National Provider Identifier
1083926521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- RN 1061832
- Practice address
- 1500 NW 12TH Ave Ste 1007
Miami, FL 33136-1046 - Phone
- (305) 243-4664
- Fax
- (305) 243-9927
- NPI assigned
- Jul 13, 2010
- 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 |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | RN 1061832 | FL | Primary |
Addresses
Primary practice location
1500 NW 12TH Ave Ste 1007
Miami, FL 33136-1046
Mailing address
1500 NW 12TH Ave, E-1007
Miami, FL 33136-1005
Phone (305) 243-4664
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 |
|---|---|---|---|
| RN 1061832 | FL | MD | Diabetes Educator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Miami, FL
- NPI 1336411198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291680000000",
"number": "1083926521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 NW 12TH AVE, E-1007",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-243-4664",
"fax_number": "305-243-9927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 NW 12TH AVE STE 1007",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361046",
"telephone_number": "305-243-4664",
"fax_number": "305-243-9927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARROW-BODENMILLER",
"first_name": "JANE",
"middle_name": "LESLEY",
"name_prefix": "Mrs.",
"credential": "R.N. C.D.E.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-13",
"last_updated": "2010-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "FL",
"license": "RN 1061832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.