Active NPI
Sierra Hope, LPN
- Developmental Disabilities Clinic/Center
- Pinellas Park, FL
National Provider Identifier
1306474630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Practice address
- 4736 68TH Ave N
Pinellas Park, FL 33781-5263 - Phone
- (727) 291-3294
- NPI assigned
- Mar 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Primary |
Addresses
Primary practice location
4736 68TH Ave N
Pinellas Park, FL 33781-5263
Mailing address
4736 68TH Ave N
Pinellas Park, FL 33781-5263
Phone (727) 291-3294
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105722900 | Medicaid | FL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | pinellaspark | Health Information Exchange (HIE) | |
| CONNECT URL | lovingandsupporting@icloud.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585612800000",
"number": "1306474630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4736 68TH AVE N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337815263",
"telephone_number": "727-291-3294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4736 68TH AVE N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337815263",
"telephone_number": "727-291-3294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPE",
"first_name": "SIERRA",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-31",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105722900",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "pinellaspark",
"affiliation": "N",
"endpointDescription": "business",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4736 68th Ave N",
"city": "Pinellas Park",
"state": "FL",
"country_code": "US",
"postal_code": "337815263",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "lovingandsupporting@icloud.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4736 68th Ave N",
"city": "Pinellas Park",
"state": "FL",
"country_code": "US",
"postal_code": "337815263",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.