Organization Active NPI

Sunshine Allergy and Asthma PLLC

  • Allergy & Immunology (Internal Medicine) Physician
  • North Port, FL
National Provider Identifier
1275114779
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
Legal business name
SUNSHINE ALLERGY AND ASTHMA PLLC
Practice address
2565 N Toledo Blade Blvd
North Port, FL 34289-9306
Phone
(412) 655-4362
NPI assigned
Apr 16, 2021
Last updated
Apr 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Kristyn Billings
Title
Credentialing
Phone
(412) 655-4362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X Primary

Addresses

Primary practice location

2565 N Toledo Blade Blvd
North Port, FL 34289-9306

Mailing address

PO Box 791
Carnegie, PA 15106-0791
Phone (412) 951-2439

Other identifiers 1

IdentifierTypeStateIssuer
OS16686OtherFLSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210602003156 FL Part B Supplier - Clinic/Group Practice 5092114520 Receives reassigned benefits from 3 practitioners
Practice locations: North Port, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1275114779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151060791",
            "telephone_number": "412-951-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 N TOLEDO BLADE BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342899306",
            "telephone_number": "412-655-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE ALLERGY AND ASTHMA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "BILLINGS",
        "authorized_official_first_name": "KRISTYN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "412-655-4362"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OS16686",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.