Active NPI
Sandra Sue Stauffer, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Miramar, FL
National Provider Identifier
1306689542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11025607
- Practice address
- 7821 Miramar Parkway
Miramar, FL 33023 - Phone
- (954) 609-9768
- NPI assigned
- Jun 17, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11025607 | FL | Primary |
Addresses
Primary practice location
7821 Miramar Parkway
Miramar, FL 33023
Mailing address
7901 4TH St N Ste 8022
St Petersburg, FL 33702-4305
Phone (754) 216-5457
Other practice location 1
7821 Miramar Pkwy
Miramar, FL 33023-5850
Phone (954) 609-9768
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11025607 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delsandz Telewellness LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- St Miramar, FL
- NPI 1124942263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1306689542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 4TH ST N STE 8022",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024305",
"telephone_number": "754-216-5457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7821 MIRAMAR PARKWAY",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "33023",
"telephone_number": "954-609-9768"
}
],
"practiceLocations": [
{
"address_1": "7821 Miramar Pkwy",
"address_purpose": "LOCATION",
"city": "Miramar",
"state": "FL",
"postal_code": "330235850",
"country_code": "US",
"telephone_number": "954-609-9768",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAUFFER",
"first_name": "SANDRA",
"middle_name": "SUE",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-17",
"last_updated": "2024-06-17",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11025607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.