Miriam R. Sanderlin, ARNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

ARNP623922 Issued in FL

Practice address

5151 Raleigh St
Orlando, FL 32811-3926

Phone

(407) 296-5177

Fax

(407) 521-4699

NPI assigned

Feb 2, 2009

Last updated

Feb 2, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Florida Department of Health

  dba Orange County Health Department

  • Public Health or Welfare Agency
  • Orlando, FL
  • NPI 1023055944
  NPD (past)
• Florida Department of Health

  dba Levy County Health Department

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390
  NPD (past)

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1265670053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 RALEIGH ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328113926",
            "telephone_number": "407-296-5177",
            "fax_number": "407-521-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 RALEIGH ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328113926",
            "telephone_number": "407-296-5177",
            "fax_number": "407-521-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERLIN",
        "first_name": "MIRIAM",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP623922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3011925-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE",
            "identifier": "ARNP623922",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265670053",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sand Lake Rehab & Wellness Center Inc
• Sand Lake Surgery Center, LP
• Sand Lake Surgicenter LLC (Sand Lake Surgery Center)
• Leslie H Sand, PA-C
• Mark E Sand, M.D.
• Scott Donald Sanderlin, RN
• Agnes Naomi Sanders, MSW
• Ava Marie Sanders
• Brett Douglas Sanders, M.D.
• Brittany Shea Sanders

• Women's Health Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Women's Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.