Individual provider Active NPI

Carol T Sanden, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1477612828
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP 2532962 Issued in FL
Practice address
777S Palm Ave 7
Sarasota, FL 34236-7746
Phone
(941) 906-2001
Fax
(941) 906-2001
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP 2532962 FL Primary

Addresses

Primary practice location

777S Palm Ave 7
Sarasota, FL 34236-7746

Mailing address

777 S Palm Ave
Ste 7
Sarasota, FL 34236-7746
Phone (941) 906-2001

Other identifiers 1

IdentifierTypeStateIssuer
Y9707OtherBCBS

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
I20080611000438 FL Practitioner - Nurse Practitioner 0345311882 Practice locations: Lake Placid, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Lake Placid, FL 33852
Phone (941) 259-7971

777 S Palm Ave
Suite 7
Sarasota, FL 34236-7746

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 2532962FLMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1477612828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S PALM AVE",
            "address_2": "STE 7",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367746",
            "telephone_number": "941-906-2001",
            "fax_number": "904-906-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777S PALM AVE 7",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367746",
            "telephone_number": "941-906-2001",
            "fax_number": "941-906-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDEN",
        "first_name": "CAROL",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP 2532962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y9707",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.