Individual provider Active NPI

Sandra Jean Vanhorn, MSN, AGCPNP-C

  • Gerontology Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1225422660
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP1758092 Issued in FL
Practice address
101 S Westmoreland Dr
Orlando, FL 32805-2258
Phone
(407) 863-9263
Fax
(407) 836-7163
NPI assigned
Mar 24, 2015
Last updated
Mar 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP 1758092 FL
Gerontology Nurse Practitioner 363LG0600X ARNP1758092 FL Primary

Addresses

Primary practice location

101 S Westmoreland Dr
Orlando, FL 32805-2258

Mailing address

101 S Westmoreland Dr
Orlando, FL 32805-2258
Phone (407) 863-9263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
ARNP 1758092FLMDAdult Health Nurse Practitioner
ARNP1758092FLMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1225422660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S WESTMORELAND DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328052258",
            "telephone_number": "407-863-9263",
            "fax_number": "407-836-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S WESTMORELAND DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328052258",
            "telephone_number": "407-863-9263",
            "fax_number": "407-836-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHORN",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "credential": "MSN, AGCPNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 1758092",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP1758092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.