Active NPI
Wanda J Sciarrino, NP
- Adult Health Nurse Practitioner
- Homosassa, FL
National Provider Identifier
1336480508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1673262
- Practice address
- 8365 S Suncoast Blvd
Homosassa, FL 34446 - Phone
- (352) 382-0258
- Fax
- (352) 382-0416
- NPI assigned
- Mar 12, 2013
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1673262 | FL | Primary |
Addresses
Primary practice location
8365 S Suncoast Blvd
Homosassa, FL 34446
Mailing address
14690 Spring Hill Dr
Suite 100 Attn:Credentialing
Spring Hill, FL 34609-8102
Phone (352) 799-0046
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012957800 | Medicaid | FL | |
| P01475005 | Other | FL | RAILROAD MEDICARE |
| Y0M9X | Other | FL | BCBS FL |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1673262 | FL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1336480508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14690 SPRING HILL DR",
"address_2": "SUITE 100 ATTN:CREDENTIALING",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346098102",
"telephone_number": "352-799-0046",
"fax_number": "352-606-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8365 S SUNCOAST BLVD",
"city": "HOMOSASSA",
"state": "FL",
"postal_code": "34446",
"telephone_number": "352-382-0258",
"fax_number": "352-382-0416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIARRINO",
"first_name": "WANDA",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-12",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "1673262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012957800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01475005",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "Y0M9X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homosassa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.