Individual provider Active NPI

Sara Danielle Moore Allen, APRN

  • Family Nurse Practitioner
  • Rockledge, FL
National Provider Identifier
1427701788
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11016941 Issued in FL
Practice address
661 Eyster Blvd
Rockledge, FL 32955-8119
Phone
(321) 637-2755
Fax
(321) 636-4157
NPI assigned
Jan 27, 2022
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11016941 FL Primary

Addresses

Primary practice location

661 Eyster Blvd
Rockledge, FL 32955-8119

Mailing address

756 S Orlando Ave Apt 115
Cocoa Beach, FL 32931-4425
Phone (321) 317-5384

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
I20240416001324 FL Practitioner - Nurse Practitioner 1951740695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Solutions LLCGroup PAC ID 3870037765, 6 clinicians

Practice addresses (Care Compare)

284 S Brevard Ave
Cocoa Beach, FL 32931-2797
Phone (321) 260-2101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11016941FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Solutions LLC CurrentSince Jul 2, 2024 Accepting new patients

Locations

125 E Merritt Island Cswy
Ste 107
Merritt Island, FL 32952

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1427701788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 S ORLANDO AVE APT 115",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329314425",
            "telephone_number": "321-317-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 EYSTER BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329558119",
            "telephone_number": "321-637-2755",
            "fax_number": "321-636-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SARA",
        "middle_name": "DANIELLE MOORE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11016941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.