Sashi A Zickefoose, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11014840 Issued in FL

Practice address

4645 Clyde Morris Blvd Ste 408
Port Orange, FL 32129-3005

Phone

(386) 295-6601

NPI assigned

Sep 27, 2011

Last updated

Jun 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

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.

• Volusia Renal Consultants LLC

  • Nephrology Physician
  • Port Orange, FL
  • NPI 1336479781
  NPD

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1407139371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 BOUNTY LN",
            "city": "PONCE INLET",
            "state": "FL",
            "postal_code": "321277244",
            "telephone_number": "386-886-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 CLYDE MORRIS BLVD STE 408",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321293005",
            "telephone_number": "386-295-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICKEFOOSE",
        "first_name": "SASHI",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11014840",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN116155",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amer Zakaria
• Maryam Bella Zargar
• Jakarri Zellars
• Roger L Zema, DPM
• Xingheng Zhang
• Raul L Zimmerman, MD
• ZLG Counseling, LLC
• Hassan Zulfiqar, MD
• Ralph Joseph Zwolinski, MD

• Nurse Practitioner in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.