Individual provider Active NPI

Sandra Joaquina Fujita, L.C.S.W., A.R.N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1437160280
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP 9227719 Issued in FL
Practice address
450 SE 2ND St
Hialeah, FL 33010-5308
Phone
(305) 333-8482
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW2201 FL
Family Nurse Practitioner 363LF0000X ARNP 9227719 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP 9227719 FL Primary

Addresses

Primary practice location

450 SE 2ND St
Hialeah, FL 33010-5308

Mailing address

450 SE 2ND St
Hialeah, FL 33010-5308
Phone (305) 333-8482

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
I20150428002190 FL Practitioner - Nurse Practitioner 6800115684 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW2201FLMDClinical Social Worker
ARNP 9227719FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banyan Community Health Center, Inc. CurrentSince Nov 1, 2015 Accepting new patients
New Horizons Community Mental Health Center, Inc CurrentSince Jul 26, 2018 Accepting new patients
Banyan Community Health Center, Inc. CurrentSince Nov 1, 2015 Accepting new patients
Banyan Community Health Center, Inc. Current Accepting new patients
Banyan Community Health Center, Inc. Past Accepting new patients

Locations

3850 W Flagler St
Coral Gables, FL 33134
Phone (305) 774-3300

3800 W Flagler St
Coral Gables, FL 33134
Phone (305) 774-3300

10720 Caribbean Blvd
Ste 420
Cutler Bay, FL 33189
Phone (786) 293-9544

2300 NW 89th Pl
Fl 3
Doral, FL 33172

4900 W Oakland Park Blvd
Fl 3
Lauderdale Lakes, FL 33313
Phone (954) 327-4060

6100 Blue Lagoon Dr
Ste 400
Miami, FL 33126

1469 NW 36th St
Miami, FL 33142
Phone (305) 635-0366

Organizations & group practices 5

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1437160280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SE 2ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105308",
            "telephone_number": "305-333-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SE 2ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105308",
            "telephone_number": "305-333-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJITA",
        "first_name": "SANDRA",
        "middle_name": "JOAQUINA",
        "credential": "L.C.S.W., A.R.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2201",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9227719",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP 9227719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.