Nicole Sadusk

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH17651 Issued in FL

Practice address

1500 Beville Rd Ste 403
Daytona Beach, FL 32114-5644

Phone

(386) 253-6634

NPI assigned

Sep 29, 2021

Sex

Female

Sole proprietor

No

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.

• Coast Florida P.a.

  • Dentist
  • Daytona Beach, FL
  • NPI 1699341008
  NPD
• Coast Florida P.a.

  • Dentist
  • Tampa, FL
  • NPI 1730287673
  NPD (past)

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1174295091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 AZURE MIST WAY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321243704",
            "telephone_number": "386-383-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 BEVILLE RD STE 403",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145644",
            "telephone_number": "386-253-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADUSK",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH17651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nia Ruth
• Karra J Rutherford, RN
• Kiri J Rutledge, OD
• Saafe Health Services LLC
• Sabrina Sabel, PA-C
• Asaad Tawfik Saeed
• Lucienne Safaite, AP, DACM
• Sage Dental of Daytona at Beach Street, PLLC
• Sage Dental of Daytona at Cornerstone, PLLC
• Kerrie Ann Marie Sagrani, LMHC

• Dental Hygienist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Dental Hygienist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.