Individual provider Active NPI

Sandy Lon Ratner, RN

  • Family Nurse Practitioner
  • Palm Coast, FL
National Provider Identifier
1245685312
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2843582 Issued in FL
Practice address
39 Princess Kathleen LN
Palm Coast, FL 32164-7132
Phone
(386) 931-0409
NPI assigned
Apr 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP2843582 FL Primary

Addresses

Primary practice location

39 Princess Kathleen LN
Palm Coast, FL 32164-7132

Mailing address

39 Princess Kathleen LN
Palm Coast, FL 32164-7132
Phone (386) 931-0409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170306002685 FL Practitioner - Nurse Practitioner 3476837790 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP2843582FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ormond Family Medical Center PLLC CurrentSince Nov 10, 2023 Accepting new patients
Arnp Healthcare Solutions, Inc Family CurrentSince Jan 11, 2017 Accepting new patients

Locations

545 W Granada Blvd
Ormond Beach, FL 32174
Phone (386) 672-6243

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEBJCD

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.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1245685312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 PRINCESS KATHLEEN LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321647132",
            "telephone_number": "386-931-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 PRINCESS KATHLEEN LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321647132",
            "telephone_number": "386-931-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATNER",
        "first_name": "SANDY",
        "middle_name": "LON",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-26",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2843582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.