Organization Active NPI

West Coast Family Practice LLC

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1437208402
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1320912 Issued in FL
Legal business name
WEST COAST FAMILY PRACTICE LLC
Practice address
11018 N Dale Mabry Hwy
Suite 401
Tampa, FL 33618-3802
Phone
(813) 961-9393
Fax
(813) 960-9020
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Gail Marie Sadler, ARNPNPI 1083691075
Title
Owner
Phone
(813) 961-9393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 1320912 FL Primary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 416522 FL

Addresses

Primary practice location

11018 N Dale Mabry Hwy
Suite 401
Tampa, FL 33618-3802

Mailing address

11018 N Dale Mabry Hwy
Suite 401
Tampa, FL 33618-3802
Phone (813) 961-9393

Other identifiers 1

IdentifierTypeStateIssuer
1740248384OtherFLNPI NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070219000574 FL Part B Supplier - Clinic/Group Practice 6901908136 Receives reassigned benefits from 3 practitioners
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

11018 N Dale Mabry Hwy
Ste 401
Tampa, FL 33618
Phone (813) 961-9393

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1437208402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11018 N DALE MABRY HWY",
            "address_2": "SUITE 401",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183802",
            "telephone_number": "813-961-9393",
            "fax_number": "813-960-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11018 N DALE MABRY HWY",
            "address_2": "SUITE 401",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183802",
            "telephone_number": "813-961-9393",
            "fax_number": "813-960-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "SADLER",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-961-9393",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1320912",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "416522",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1740248384",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.