Active NPI
Sara Joanne Foley, APRN
- Family Nurse Practitioner
- Fort Myers, FL
National Provider Identifier
1225435142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9316301
- Practice address
- 9350 Camelot Dr
Fort Myers, FL 33919-7980 - Phone
- (239) 481-5437
- Fax
- (239) 481-0570
- NPI assigned
- Nov 20, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9316301 | FL | Primary |
Addresses
Primary practice location
9350 Camelot Dr
Fort Myers, FL 33919-7980
Mailing address
12730 New Brittany Blvd Ste 602
Fort Myers, FL 33907-4690
Phone (239) 275-5522
Other practice location 1
1261 Viscaya Pkwy
Suite 101
Cape Coral, FL 33990-3252
Phone (239) 573-7337
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y0P9J | Other | FL | FLORIDA BLUE |
| 013858100 | Medicaid | FL | |
| IP219Z | Other | FL | MEDICARE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9316301 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Primary Care of Southwest Florida PL | Current | Accepting new patients |
Locations
1261 Viscaya Pkwy
Ste 101
Cape Coral, FL 33990
Phone (239) 573-7337
12730 New Brittany Blvd
Ste 602
Fort Myers, FL 33907
Phone (239) 275-5522
Interoperability endpoints
- sara.foley@ppcswfl.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Cape Coral, FL
- NPI 1326021239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1225435142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12730 NEW BRITTANY BLVD STE 602",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339074690",
"telephone_number": "239-275-5522",
"fax_number": "239-275-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9350 CAMELOT DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339197980",
"telephone_number": "239-481-5437",
"fax_number": "239-481-0570"
}
],
"practiceLocations": [
{
"address_1": "1261 Viscaya Pkwy",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Cape Coral",
"state": "FL",
"postal_code": "339903252",
"country_code": "US",
"telephone_number": "239-573-7337",
"fax_number": "239-574-5883",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOLEY",
"first_name": "SARA",
"middle_name": "JOANNE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-20",
"last_updated": "2020-10-13",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9316301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "Y0P9J",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013858100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IP219Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.