Individual provider Active NPI

Julie Marie Sedlack, FNP-C

  • Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1194581397
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11031211 Issued in FL
Practice address
2020 Town Center Blvd Ste C
Brandon, FL 33511-2906
Phone
(813) 633-1980
Fax
(813) 355-5104
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11031211 FL Primary

Addresses

Primary practice location

2020 Town Center Blvd Ste C
Brandon, FL 33511-2906

Mailing address

38135 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (352) 567-0188

Other practice location 1

3860 Sun City Center Blvd
Sun City Center, FL 33573-6806
Phone (813) 633-1980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240531000434 FL Practitioner - Nurse Practitioner 4981046299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David a Butler DO LLCGroup PAC ID 5092981118, 15 clinicians

Practice addresses (Care Compare)

2400 Harbor Blvd
Port Charlotte, FL 33952-5038
Phone (941) 273-3611

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group II LLC CurrentSince Jun 24, 2024 Accepting new patients
Ohi West Medical Group II LLC CurrentSince Jun 24, 2024 Accepting new patients
David a Butler DO LLC CurrentSince Feb 8, 2026 Accepting new patients

Locations

2020 Town Center Blvd
Ste C
Brandon, FL 33511
Phone (813) 633-1980

2400 Harbor Blvd
Ste 4
Pt Charlotte, FL 33952
Phone (941) 273-3611

3860 Sun City Center Blvd
Sun City Center, FL 33573
Phone (813) 633-1980

4012 N Florida Ave
Tampa, FL 33603
Phone (813) 782-1234

38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

Organizations & group practices 3

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": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1194581397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQUARE DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505",
            "telephone_number": "352-567-0188",
            "fax_number": "813-355-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 TOWN CENTER BLVD STE C",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335112906",
            "telephone_number": "813-633-1980",
            "fax_number": "813-355-5104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3860 Sun City Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335736806",
            "country_code": "US",
            "telephone_number": "813-633-1980",
            "fax_number": "813-355-5104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEDLACK",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11031211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.