Active NPI
Julie Marie Sedlack, FNP-C
- Nurse Practitioner
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11031211
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohi West Medical Group II LLC | Current | Accepting new patients | |
| Ohi West Medical Group II LLC | Current | Accepting new patients | |
| David a Butler DO LLC | Current | 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.
-
- Family Medicine Physician
- Port Charlotte, FL
- NPI 1669759080
-
- General Practice Physician
- Zephyrhills, FL
- NPI 1982381299
-
- Durable Medical Equipment & Medical Supplies
- Wesley Chapel, FL
- NPI 1427814847
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.