Individual provider Active NPI

Sonya Vickers, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1316390230
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9332352 Issued in FL
Practice address
5 Tampa General Cir
Suite 240
Tampa, FL 33606-3601
Phone
(813) 258-3309
Fax
(813) 251-4454
NPI assigned
Jul 15, 2016
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9332352 FL Primary

Addresses

Primary practice location

5 Tampa General Cir
Suite 240
Tampa, FL 33606-3601

Mailing address

5 Tampa General Cir
Suite 240
Tampa, FL 33606-3601
Phone (813) 258-3309

Other practice location 1

1831 Gilmore Ave
Lakeland, FL 33805-3017
Phone (863) 519-0575

Other identifiers 1

IdentifierTypeStateIssuer
018120400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160930000572 FL Practitioner - Nurse Practitioner 0840587135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

801 E Baker St
Plant City, FL 33563-3652
Phone (813) 653-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9332352FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Community Health Centers Inc CurrentSince Jul 1, 2018 Accepting new patients
Suncoast Community Health Centers, Inc CurrentSince Jul 1, 2018 Accepting new patients
Hni Medical Services of Florida, LLC CurrentSince Jul 1, 2022 Accepting new patients
Suncoast Community Health Centers Inc Past Accepting new patients
M & D Care, Inc. D/B/a Women's Health Care Past Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

801 E Baker St
Plant City, FL 33563
Phone (813) 349-7600

13110 Elk Mountain Dr
Riverview, FL 33579
Phone (813) 349-7567

2814 14th Ave SE
Ruskin, FL 33570
Phone (813) 349-7800

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316390230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TAMPA GENERAL CIR",
            "address_2": "SUITE 240",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063601",
            "telephone_number": "813-258-3309",
            "fax_number": "813-251-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TAMPA GENERAL CIR",
            "address_2": "SUITE 240",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063601",
            "telephone_number": "813-258-3309",
            "fax_number": "813-251-4454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1831 Gilmore Ave",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338053017",
            "country_code": "US",
            "telephone_number": "863-519-0575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "SONYA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9332352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018120400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.