Active NPI
Feddy Sandy, NP
- Family Nurse Practitioner
- Belle Glade, FL
National Provider Identifier
1417916172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP2919552
- Practice address
- 217 W Avenue a
Belle Glade, FL 33430-3019 - Phone
- (561) 992-4888
- Fax
- (561) 992-4888
- NPI assigned
- Mar 21, 2006
- Last updated
- Mar 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP2919552 | FL | Primary |
Addresses
Primary practice location
217 W Avenue a
Belle Glade, FL 33430-3019
Mailing address
16360 Temple Blvd
Loxahatchee, FL 33470-3008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303634100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Take Care Health Services PA | Family | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1689865818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1417916172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16360 TEMPLE BLVD",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334703008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 W AVENUE A",
"city": "BELLE GLADE",
"state": "FL",
"postal_code": "334303019",
"telephone_number": "561-992-4888",
"fax_number": "561-992-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDY",
"first_name": "FEDDY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP2919552",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303634100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belle Glade, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.