Tracy Sanfilippo

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

11668 Issued in FL

Practice address

250 Palm Coast Pkwy NE Unit 606
Palm Coast, FL 32137-8225

Phone

(386) 446-5595

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1356946370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PRINCE ANTHONY LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321647163",
            "telephone_number": "386-569-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PALM COAST PKWY NE UNIT 606",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378225",
            "telephone_number": "386-446-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFILIPPO",
        "first_name": "TRACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "11668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "site1104@coastdental.com",
            "affiliation": "N",
            "endpointDescription": "coast dental palm coast, fl",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "site1104@coastdental.com",
            "address_1": "250 Palm Coast Pkwy NE Unit 606",
            "city": "Palm Coast",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321378225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sams Assisted Living Facilty Inc #2
• Jarianna Isabella Sanchez-Colon
• Andres Sanchez, DPT
• Ashley Sanderson
• Shauna Lynn Sandford, NP
• Jose L Santana
• Santiago W Calderon MD PA
• Raymond Santiago, P.A.-C
• Noel Dolendo Santos, P.T.
• Sara J. Riley, L.M.H.C., P.a.

• Dental Hygienist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Dental Hygienist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.