Jennifer Nicole Sanford

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT23793 Issued in FL

Practice address

5647 Gulf Dr
New Port Richey, FL 34652-4019

Phone

(813) 435-3355

NPI assigned

Jan 12, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bayside Speech Therapy, Inc.

  • Clinic/Center
  • New Port Richey, FL
  • NPI 1578954962
  NPD

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1164136206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6316 CHERRY BLOSSOM TRL",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343001",
            "telephone_number": "850-339-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5647 GULF DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524019",
            "telephone_number": "813-435-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT23793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Alan Sanders
• Linda S Sanders
• Zhalarina Sanders
• Donna Lee Sands, LMHC
• Jodi Renee Sandusky, LCSW
• Charles Elias Saniour, MD
• Raymond A Santa-Cruz, DMD
• Gladimar Santiago Cartagena, M.D.
• Elias Ivan Santiago
• Sara Deese, LLC Dba Serenity Oaks Counseling

• Pediatric Occupational Therapist in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.