Sandra M Jennings Ingle, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP2055442 Issued in FL

Practice address

699 W Cocoa Beach Cswy
Suite 601
Cocoa Beach, FL 32931-3577

Phone

(321) 868-5833

Fax

(321) 868-5854

NPI assigned

Oct 22, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1083940381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561600",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329561600",
            "telephone_number": "321-868-5833",
            "fax_number": "321-868-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 W COCOA BEACH CSWY",
            "address_2": "SUITE 601",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313577",
            "telephone_number": "321-868-5833",
            "fax_number": "321-868-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS INGLE",
        "first_name": "SANDRA",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2055442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292606700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CP566",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• In Balance Rehab LLC
• Insight Comfort Therapy LLC
• Elias C Jacobo, M.D.
• Jacobs Ladder Family II Assisted Living II
• James C Elmer, MD PA
• Emily G Jennings, PA-C
• Aaron Jiron
• John Stephens
• Preston Jones, MD
• Joseph B. Glasner, M.D., P.a.

• Nurse Practitioner in Cocoa Beach, FL
• Providers in Cocoa Beach, 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 18, 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.

Verify at the official NPI Registry.