Individual provider Active NPI

Anne Sapp, AGPCNP-BC

  • Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1417501685
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11003476 Issued in FL
Practice address
5771 Roosevelt Blvd
Clearwater, FL 33760-3407
Phone
(727) 467-7423
NPI assigned
Jul 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11003476 FL Primary

Addresses

Primary practice location

5771 Roosevelt Blvd
Clearwater, FL 33760-3407

Mailing address

4616 33Rd Ave W
Bradenton, FL 34209-6238
Phone (941) 730-4082

Other practice location 1

4616 33rd Ave W
Bradenton, FL 34209-6238
Phone (941) 730-4082

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
I20221104002009 FL Practitioner - Nurse Practitioner 2163853243 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11003476FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospice of the Florida Suncoast, Inc. CurrentSince Jul 29, 2022 Accepting new patients
Empath Health Pharmaceuticals, LLC CurrentSince Jul 29, 2022 Accepting new patients

Locations

5771 Roosevelt Blvd
Clearwater, FL 33760
Phone (727) 523-2480

5771 Roosevelt Blvd
Ste 610
Clearwater, FL 33760
Phone (727) 523-2160

6310 Capital Dr
Lakewood Ranch, FL 34202
Phone (941) 552-7500

2675 Tampa Rd
Palm Harbor, FL 34684
Phone (727) 467-7423

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.

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1417501685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 33RD AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342096238",
            "telephone_number": "941-730-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5771 ROOSEVELT BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603407",
            "telephone_number": "727-467-7423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4616 33rd Ave W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342096238",
            "country_code": "US",
            "telephone_number": "941-730-4082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAPP",
        "first_name": "ANNE",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11003476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.