Active NPI
Sarah Alice Luffman
- Pediatric Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1184290983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP11012373
- Practice address
- 6801 Beach Blvd
Jacksonville, FL 32216-2820 - Phone
- (904) 224-5437
- Fax
- (904) 647-9663
- NPI assigned
- Jun 2, 2021
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP11012373 | FL | Primary |
Addresses
Primary practice location
6801 Beach Blvd
Jacksonville, FL 32216-2820
Mailing address
6801 Beach Blvd
Jacksonville, FL 32216-2820
Phone (904) 224-5437
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://patientportal.intelichart.com/login/Account/Login/181090144092166105167226089009205065164212 | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| ARNP11012373 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angel Kids PA | Past | Accepting new patients |
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.
-
- Primary Care Clinic/Center
- Jacksonville, FL
- NPI 1124162854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1184290983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 BEACH BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322162820",
"telephone_number": "904-224-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 BEACH BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322162820",
"telephone_number": "904-224-5437",
"fax_number": "904-647-9663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUFFMAN",
"first_name": "SARAH",
"middle_name": "ALICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-02",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP11012373",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://patientportal.intelichart.com/login/Account/Login/181090144092166105167226089009205065164212",
"affiliation": "N",
"endpointDescription": "Portal",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Digital",
"address_1": "6801 Beach Blvd",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322162820",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.