Active NPI
Shauna Lynn Sandford, NP
- Women's Health Clinical Nurse Specialist
- Palm Coast, FL
National Provider Identifier
1104372564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Clinical Nurse Specialist
- License
- APRN11010920
- Practice address
- 50 Cypress Point Pkwy Ste B1
Palm Coast, FL 32164-2501 - Phone
- (386) 283-4180
- NPI assigned
- Aug 26, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | APN.099058-NP | CO | |
| Women's Health Clinical Nurse Specialist | 364SW0102X | APRN11010920 | FL | Primary |
| Registered Nurse | 163W00000X | RN.0205262 | CO |
Addresses
Primary practice location
50 Cypress Point Pkwy Ste B1
Palm Coast, FL 32164-2501
Mailing address
685 Natureland Cir
Saint Augustine, FL 32092-3309
Phone (303) 667-5019
Other practice location 1
7720 S Broadway Ste 440
Littleton, CO 80122-2624
Phone (303) 795-0890
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.0205262 | CO | MD | Registered Nurse |
| APN.099058-NP | CO | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Current | Accepting new patients |
Locations
3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641
1301 Plantation Island Dr S
Ste 103
Saint Augustine, FL 32080
Phone (904) 461-5330
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.
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- NPI 1871572032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1104372564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 NATURELAND CIR",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320923309",
"telephone_number": "303-667-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 CYPRESS POINT PKWY STE B1",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321642501",
"telephone_number": "386-283-4180"
}
],
"practiceLocations": [
{
"address_1": "7720 S Broadway Ste 440",
"address_purpose": "LOCATION",
"city": "Littleton",
"state": "CO",
"postal_code": "801222624",
"country_code": "US",
"telephone_number": "303-795-0890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDFORD",
"first_name": "SHAUNA",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-26",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CO",
"license": "APN.099058-NP",
"primary": false
},
{
"code": "364SW0102X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Women's Health",
"state": "FL",
"license": "APRN11010920",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN.0205262",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.