Active NPI
Sandra Florida
- Registered Nurse
- Flint, MI
National Provider Identifier
1235643487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704194454
- Practice address
- 1057 E Coldwater Rd
Flint, MI 48505-1501 - Phone
- (810) 785-9892
- NPI assigned
- Nov 27, 2017
- Last updated
- Jun 18, 2019
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704194454 | MI | Primary |
Addresses
Primary practice location
1057 E Coldwater Rd
Flint, MI 48505-1501
Mailing address
1057 E Coldwater Rd
Flint, MI 48505-1501
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704194454 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesee Health System | Past | Accepting new patients | |
| Genesee Health System | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Flint, MI
- NPI 1043554348
-
dba Genesee Community Health Center
- Federally Qualified Health Center (FQHC)
- Flint, MI
- NPI 1962140137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1235643487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1057 E COLDWATER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485051501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1057 E COLDWATER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485051501",
"telephone_number": "810-785-9892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORIDA",
"first_name": "SANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-27",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704194454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.