Individual provider Active NPI

Sarah Lynn Blizzard, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1093073579
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9171825 Issued in FL
Practice address
12280 Lake Underhill Rd
Orlando, FL 32825-5009
Phone
(407) 273-3284
NPI assigned
May 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9171825 FL
Family Nurse Practitioner 363LF0000X APRN9171825 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9171825 FL Primary

Addresses

Primary practice location

12280 Lake Underhill Rd
Orlando, FL 32825-5009

Mailing address

5043 Blue Major Dr
Windermere, FL 34786-3108
Phone (407) 506-2575

Other practice location 1

5043 Blue Major Dr
Windermere, FL 34786-3108
Phone (407) 590-1395

Other practice location 2

27615 US Highway 27 Ste 109-172
Leesburg, FL 34748-9396
Phone (833) 847-8863

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
I20131007000446 FL Practitioner - Nurse Practitioner 1254565252 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9171825FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hma/Solantic Joint Venture, LLC CurrentSince Dec 9, 2013 Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Dec 9, 2013 Accepting new patients
Solantic/South Florida, LLC CurrentSince Dec 9, 2013 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Dec 9, 2013 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Feb 1, 2022 Accepting new patients
Blizzard Psychiatric Enterprises, Inc Family Current Accepting new patients

Locations

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

504 W Plant St
Winter Garden, FL 34787
Phone (407) 504-0511

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

Organizations & group practices 6

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": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1093073579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5043 BLUE MAJOR DR",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347863108",
            "telephone_number": "407-506-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12280 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328255009",
            "telephone_number": "407-273-3284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5043 Blue Major Dr",
            "address_purpose": "LOCATION",
            "city": "Windermere",
            "state": "FL",
            "postal_code": "347863108",
            "country_code": "US",
            "telephone_number": "407-590-1395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27615 US Highway 27 Ste 109-172",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347489396",
            "country_code": "US",
            "telephone_number": "833-847-8863",
            "fax_number": "407-540-9786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLIZZARD",
        "first_name": "SARAH",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9171825",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9171825",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9171825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.