Active NPI
Sandra Joaquina Fujita, L.C.S.W., A.R.N.P.
- Psychiatric/Mental Health Nurse Practitioner
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- ARNP 9227719
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW2201 | FL | MD | Clinical Social Worker |
| ARNP 9227719 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banyan Community Health Center, Inc. | Current | Accepting new patients | |
| New Horizons Community Mental Health Center, Inc | Current | Accepting new patients | |
| Banyan Community Health Center, Inc. | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Coral Gables, FL
- NPI 1104247188
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1952360620
-
- Federally Qualified Health Center (FQHC)
- Coral Gables, FL
- NPI 1922349737
-
- Federally Qualified Health Center (FQHC)
- Lauderdale Lakes, FL
- NPI 1972979631
-
- Community/Behavioral Health Agency
- Coral Gables, FL
- NPI 1710394499
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.