Jana Sanford-Heller

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT14825 Issued in FL

Practice address

150 Southpark Blvd Ste 202
Saint Augustine, FL 32086-5179

Phone

(352) 256-0658

NPI assigned

Sep 8, 2020

Last updated

Sep 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Independence Youth Center

  • Occupational Therapist
  • Jacksonville, FL
  • NPI 1821725060

  Multi-Specialty

  NPD Authorized official
• Ride the Wave Therapy Services

  • Multi-Specialty Clinic/Center
  • St Augustine, FL
  • NPI 1467068023
  NPD Authorized official

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1235743196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 PORTADA DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320951637",
            "telephone_number": "352-256-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SOUTHPARK BLVD STE 202",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865179",
            "telephone_number": "352-256-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD-HELLER",
        "first_name": "JANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT14825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Fusion",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "150 Southpark Blvd Ste 202",
            "city": "Saint Augustine",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320865179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Clore Sanders, MD
• Itzel Sandoval-Reynoso, PA-C
• Sands Recovery & Wellness LLC (Reset)
• Erica Sanes, A.P.
• Sanford Clinic North (Sanford South University Laboratory)
• Cheryl Santana
• Julianna Santiago
• Roberto Santiago
• Charlyn Santonil, ARNP
• Diane Santopadre, ARNP

• Occupational Therapist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.