Active NPI
Amber Renae Sanford, ARNP
- Adult Health Nurse Practitioner
- Mount Dora, FL
National Provider Identifier
1134592561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP9294584
- Practice address
- 2255 Crescent Dr
Mount Dora, FL 32757-4708 - Phone
- (352) 838-3826
- NPI assigned
- Nov 6, 2015
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP9294584 | FL | Primary |
Addresses
Primary practice location
2255 Crescent Dr
Mount Dora, FL 32757-4708
Mailing address
2255 Crescent Dr
Mount Dora, FL 32757-4708
Phone (352) 838-3826
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9294584 | FL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1134592561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 CRESCENT DR",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327574708",
"telephone_number": "352-838-3826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 CRESCENT DR",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327574708",
"telephone_number": "352-838-3826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANFORD",
"first_name": "AMBER",
"middle_name": "RENAE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-06",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP9294584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Dora, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.