Individual provider Active NPI

Sally Ann Covey, A.R.N.P.

  • Adult Health Nurse Practitioner
  • Winter Park, FL
National Provider Identifier
1417024555
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP2901052 Issued in FL
Practice address
483 N Semoran Blvd
Ste 102
Winter Park, FL 32792-3803
Phone
(407) 215-6326
Fax
(321) 274-0322
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP2901052 FL Primary

Addresses

Primary practice location

483 N Semoran Blvd
Ste 102
Winter Park, FL 32792-3803

Mailing address

483 N Semoran Blvd
Ste 102
Winter Park, FL 32792-3803
Phone (407) 645-1847

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
I20150129000365 FL Order and Referring Only - Nurse Practitioner 0244318335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1417024555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 N SEMORAN BLVD",
            "address_2": "STE 102",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923803",
            "telephone_number": "407-645-1847",
            "fax_number": "321-274-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 N SEMORAN BLVD",
            "address_2": "STE 102",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923803",
            "telephone_number": "407-215-6326",
            "fax_number": "321-274-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVEY",
        "first_name": "SALLY",
        "middle_name": "ANN",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP2901052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.