Individual provider Active NPI

Sandra Marie Britt

  • Gerontology Nurse Practitioner
  • Independence, OH
National Provider Identifier
1508267428
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
COA.16324-NP Issued in OH
Practice address
4401 Rockside Rd Ste 214
Independence, OH 44131-2147
Phone
(330) 626-1113
Fax
(330) 626-1133
NPI assigned
Sep 10, 2014
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X COA.16324-NP OH Primary

Addresses

Primary practice location

4401 Rockside Rd Ste 214
Independence, OH 44131-2147

Mailing address

30575 Bainbridge Rd
Ste 300
Solon, OH 44139-2275
Phone (440) 368-6868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240304003104 CA Practitioner - Nurse Practitioner 2163644246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.16324-NPOHMDGerontology Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: somatusincmra.sandrabritt@157985.advancedmd-direct.com
  • Direct secure messaging: somatusmedicalgroup.sandra.britt@157982.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1508267428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30575 BAINBRIDGE RD",
            "address_2": "STE 300",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392275",
            "telephone_number": "440-368-6868",
            "fax_number": "440-368-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 ROCKSIDE RD STE 214",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312147",
            "telephone_number": "330-626-1113",
            "fax_number": "330-626-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITT",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "COA.16324-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.