Active NPI
Susana Sardinas
- Developmental Therapist
- Homestead, FL
National Provider Identifier
1215605753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 3220 NE 11TH Dr
Homestead, FL 33033-5308 - Phone
- (305) 776-7606
- NPI assigned
- Aug 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
3220 NE 11TH Dr
Homestead, FL 33033-5308
Mailing address
3220 NE 11TH Dr
Homestead, FL 33033-5308
Phone (305) 776-7606
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | HOMESTEAD | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1215605753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 NE 11TH DR",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330335308",
"telephone_number": "305-776-7606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 NE 11TH DR",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330335308",
"telephone_number": "305-776-7606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARDINAS",
"first_name": "SUSANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "HOMESTEAD",
"affiliation": "N",
"endpointDescription": "3220 ne 11 drive",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3220 NE 11th Dr",
"city": "Homestead",
"state": "FL",
"country_code": "US",
"postal_code": "330335308",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.