Sandra Lee Priddle, NURSE AGENCY

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5214938 Issued in FL

Practice address

216 SW 10TH Ter
Cape Coral, FL 33991-2551

Phone

(239) 309-9192

NPI assigned

Nov 28, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sandra Lee'S Homes With Hearts

  • Home Health Agency
  • Cape Coral, FL
  • NPI 1447020987
  NPD Authorized official

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1285400507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 SW 10TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339912551",
            "telephone_number": "239-309-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 SW 10TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339912551",
            "telephone_number": "239-309-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDDLE",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "name_prefix": "Prof.",
        "credential": "NURSE AGENCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5214938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Thomason Prentice, ARNP
• Desirae Pressey
• Jules Alva Preudhomme, MD
• Amanda Price
• Michael Newton Price, DPM
• Belinda Prieto Castellon
• Yaima Prieto Diaz, RBT-23-304407
• Ana Emily Prieto Lopez
• Prime Urgent Care of Fla LLC
• David Prince

• Licensed Practical Nurse in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.