Individual provider Active NPI

Sandra H Bent, RN, RRT

  • General Care Registered Respiratory Therapist
  • Kissimmee, FL
National Provider Identifier
1316960545
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Care Registered Respiratory TherapistTaxonomy code 2279G1100X
License
RT1809 Issued in FL
Practice address
1051 W Donegan Ave
Kissimmee, FL 34741-2213
Phone
(407) 343-8344
Fax
(407) 343-8565
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9227309 FL
General Care Registered Respiratory Therapist 2279G1100X RT1809 FL Primary

Addresses

Primary practice location

1051 W Donegan Ave
Kissimmee, FL 34741-2213

Mailing address

2222 Kettle Dr
Orlando, FL 32835-8129
Phone (321) 297-6029

Other identifiers 1

IdentifierTypeStateIssuer
884339200MedicaidFL

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9227309FLMDRegistered Nurse
RT1809FLMDGeneral Care Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Airway Management, Inc. Past Accepting new patients
Airway Management Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1316960545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 KETTLE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358129",
            "telephone_number": "321-297-6029",
            "fax_number": "407-343-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W DONEGAN AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412213",
            "telephone_number": "407-343-8344",
            "fax_number": "407-343-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENT",
        "first_name": "SANDRA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "RN, RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9227309",
            "primary": false
        },
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "FL",
            "license": "RT1809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884339200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.