Individual provider Active NPI

Sarah J Baxley, DNP

  • Family Nurse Practitioner
  • Destin, FL
National Provider Identifier
1457706012
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11009672 Issued in FL
Practice address
240 Nautica Way
Destin, FL 32541-2526
Phone
(850) 757-9046
Fax
(844) 342-0852
NPI assigned
May 2, 2016
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11009672 FL Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X APRN1457706012 FL

Addresses

Primary practice location

240 Nautica Way
Destin, FL 32541-2526

Mailing address

240 Nautica Way
Destin, FL 32541-2526
Phone (850) 842-1403

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
I20210519002234 FL Practitioner - Nurse Practitioner 3678862984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

240 Nautica Way
Destin, FL 32541-2526
Phone (850) 757-9046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN1457706012FLMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Now Primary Care LLC Psychiatric/Mental Health CurrentSince Dec 19, 2023 Accepting new patients
Cognitive Neurology Consultants PA CurrentSince Mar 28, 2021 Accepting new patients
Cognitive Neurology Consultants PA PastSince Jun 23, 2024 Accepting new patients

Locations

2410 Northside Dr
Clearwater, FL 33761
Phone (727) 499-0358

1111 Lincoln Rd
Ste 500
Miami Beach, FL 33139
Phone (305) 395-4313

3075 W Oakland Park Blvd
Ste 209A
Oakland Park, FL 33311

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1457706012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 NAUTICA WAY",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412526",
            "telephone_number": "850-842-1403",
            "fax_number": "844-342-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 NAUTICA WAY",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412526",
            "telephone_number": "850-757-9046",
            "fax_number": "844-342-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXLEY",
        "first_name": "SARAH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009672",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN1457706012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

Verify at the official NPI Registry.