Sandra Samantha Zaffuto, APRN, FNP-C

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11026162 Issued in FL

Practice address

208 Senegal Dr
Ponte Vedra, FL 32081-6087

Phone

(904) 294-3310

NPI assigned

May 4, 2023

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

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Select Health and Wellness LLC

  • Family Nurse Practitioner
  • Fleming Island, FL
  • NPI 1780475012
  Medicare reassignment NPD
• Select Wound Care LLC

  • Family Nurse Practitioner
  • Fleming Island, FL
  • NPI 1922983030
  Medicare reassignment NPD

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1396434254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 SENEGAL DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320816087",
            "telephone_number": "904-294-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 SENEGAL DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320816087",
            "telephone_number": "904-294-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAFFUTO",
        "first_name": "SANDRA",
        "middle_name": "SAMANTHA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "11026162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allon Wright, CEAP, CRC
• Michele Wroten
• Seung Chul Yang, D.M.D
• Your Way Pediatrics
• Lindsay Yudin
• Kateryna Zhukova

• General Practice Physician in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.

Verify at the official NPI Registry.