Organization Active NPI

Sandy Sun PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Key West, FL
National Provider Identifier
1215794631
Registry record updated Feb 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SANDY SUN PLLC
Practice address
1511 Truman Ave
Key West, FL 33040-7252
Phone
(305) 791-3003
NPI assigned
Mar 1, 2024
Last updated
Feb 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2025

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

Authorized official

Name
Sandra Sun, NPNPI 1124484316
Title
Pmhnp
Phone
(305) 791-3003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

1511 Truman Ave
Key West, FL 33040-7252

Mailing address

1511 Truman Ave
Key West, FL 33040-7252

Other names 1

  • Sandy Sun PLLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241127003971 FL Part B Supplier - Clinic/Group Practice 1254866262 Receives reassigned benefits from 1 practitioner
Practice locations: Key West, FL

National Provider Directory

National Provider Directory

Locations

1511 Truman Ave
Key West, FL 33040
Phone (305) 294-4004

1901 Fogarty Ave
Ste 1
Key West, FL 33040
Phone (305) 791-3003

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739664000000",
    "number": "1215794631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 TRUMAN AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330407252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 TRUMAN AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330407252",
            "telephone_number": "305-791-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY SUN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "305-791-3003",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandy Sun PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.