Active NPI
Sandra F Dawson, NP
- Family Nurse Practitioner
- Tavares, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP3172622
- Practice address
- 1729 David Walker Dr
Tavares, FL 32778-5745 - Phone
- (352) 508-4455
- Fax
- (844) 388-6186
- NPI assigned
- Jan 23, 2010
- Sex
- Female
- Sole proprietor
- No
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.
-
- Primary Care Clinic/Center
- Lady Lake, FL
- NPI 1336153709
-
- Emergency Medicine Physician
- Ocala, FL
- NPI 1881643740
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Medical Associates LLC
Practice addresses (Care Compare)
13940 N US Hwy 441
Suite 102
Lady Lake, FL 32159-8909
Phone (352) 751-9900
1729 David Walker Dr
Tavares, FL 32778-5745
Phone (352) 604-5038
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100602000820 | FL | Practitioner - Nurse Practitioner | 3678602554 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Medical Associates LLC | Current |
Accepting new patients | |
| Florida Em-I Medical Services PA | Past | Accepting new patients |
Locations
13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900
1714 SW 17th St
Ocala, FL 34471
Phone (352) 274-9900
601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439
1729 David Walker Dr
Tavares, FL 32778
Phone (352) 253-9100
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- sandra.dawson@sl.eclinicaldirectplus.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP3172622 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1729 David Walker Dr
Tavares, FL 32778-5745
Mailing address
1729 David Walker Dr
Tavares, FL 32778-5745
Phone (352) 508-4455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 4, 2020.
{
"created_epoch": "1264204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1386975845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1729 DAVID WALKER DR",
"city": "TAVARES",
"state": "FL",
"postal_code": "327785745",
"telephone_number": "352-508-4455",
"fax_number": "844-388-6186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1729 DAVID WALKER DR",
"city": "TAVARES",
"state": "FL",
"postal_code": "327785745",
"telephone_number": "352-508-4455",
"fax_number": "844-388-6186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "SANDRA",
"middle_name": "F",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-23",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP3172622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.