Individual provider Active NPI

Katie Michele Sanford, APRN

  • Family Nurse Practitioner
  • Fern Park, FL
National Provider Identifier
1336700434
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11002963 Issued in FL
Practice address
2915 Lakeview Dr Ste 1001
Fern Park, FL 32730-2050
Phone
(407) 900-0613
Fax
(407) 335-6945
NPI assigned
Jun 28, 2019
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11002963 FL
Family Nurse Practitioner 363LF0000X APRN11002963 FL Primary

Addresses

Primary practice location

2915 Lakeview Dr Ste 1001
Fern Park, FL 32730-2050

Mailing address

2915 Lakeview Dr Ste 1001
Fern Park, FL 32730-2050
Phone (407) 900-0613

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
I20190812002365 FL Practitioner - Nurse Practitioner 8628305760 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11002963FLMDFamily Nurse Practitioner
APRN11002963FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Primary Care Network Inc Family CurrentSince Aug 1, 2023 Accepting new patients
Travel Doctor, PL CurrentSince Feb 19, 2024 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Apr 13, 2020 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Apr 13, 2020 Accepting new patients
The Clinicians, LLC CurrentSince Jan 19, 2024 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince May 30, 2025 Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

21301 Powerline Rd
Ste 106
Boca Raton, FL 33433
Phone (866) 550-2212

2915 Lakeview Dr
Ste 1001
Fern Park, FL 32730
Phone (407) 900-0613

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

10970 Cross Creek Blvd
Ste D
Tampa, FL 33647
Phone (813) 369-5969

1755 David Walker Dr
Tavares, FL 32778
Phone (352) 742-8830

Interoperability endpoints

  • Direct secure messaging: katie.sanford.2@8042.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1336700434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 LAKEVIEW DR STE 1001",
            "city": "FERN PARK",
            "state": "FL",
            "postal_code": "327302050",
            "telephone_number": "407-900-0613",
            "fax_number": "407-335-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 LAKEVIEW DR STE 1001",
            "city": "FERN PARK",
            "state": "FL",
            "postal_code": "327302050",
            "telephone_number": "407-900-0613",
            "fax_number": "407-335-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "KATIE",
        "middle_name": "MICHELE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002963",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fern Park, FL

Sources for this page

Verify at the official NPI Registry.