Individual provider Active NPI

Sandra Sun, APRN

  • Family Nurse Practitioner
  • Key West, FL
National Provider Identifier
1124484316
Registry record updated Feb 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9338059 Issued in FL
Practice address
1511 Truman Ave
Key West, FL 33040-7252
Phone
(305) 791-3003
Fax
(305) 294-8388
NPI assigned
Jan 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9338059 FL
Family Nurse Practitioner 363LF0000X 9338059 FL Primary

Addresses

Primary practice location

1511 Truman Ave
Key West, FL 33040-7252

Mailing address

1308 Petronia St
Key West, FL 33040-7235
Phone (305) 393-9414

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sandra.sun.1@4692.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160913000845 FL Practitioner - Nurse Practitioner 1254627516 Reassigns benefits to 1 organization
I20231128003175 NC Practitioner - Nurse Practitioner 1254627516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida State University College of Medicine, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1511 Truman Ave
Key West, FL 33040-7252
Phone (305) 791-3003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9338059FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sandy Sun PLLC Psychiatric/Mental Health CurrentSince Jul 14, 2024 Accepting new patients
The Pisgah Institute for Psychotherapy & Education, P.a. CurrentSince Oct 1, 2023 Accepting new patients
The Pisgah Institute for Psychotherapy & Education, P.a. CurrentSince Oct 1, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1511 Truman Ave
Key West, FL 33040
Phone (305) 294-4004

158 Zillicoa St
Asheville, NC 28801
Phone (828) 254-9494

Interoperability endpoints

  • Direct secure messaging: sandra.sun.1@4692.direct.athenahealth.com

Organizations & group practices 4

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": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739664000000",
    "number": "1124484316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 PETRONIA ST",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330407235",
            "telephone_number": "305-393-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 TRUMAN AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330407252",
            "telephone_number": "305-791-3003",
            "fax_number": "305-294-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "SANDRA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9338059",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9338059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sandra.sun.1@4692.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1111 12th St Ste 203",
            "city": "Key West",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330403000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

Verify at the official NPI Registry.