Sandra Ziegler

Primary specialty

Occupational Health Registered NurseTaxonomy code 163WX0106X

License

9231452 Issued in FL

Practice address

12623 Kernan Forest Blvd
Jacksonville, FL 32225-9501

Phone

(904) 252-0352

NPI assigned

Jul 23, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sandra Lorena Medina Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1508694407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12623 KERNAN FOREST BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322259501",
            "telephone_number": "904-252-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12623 KERNAN FOREST BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322259501",
            "telephone_number": "904-252-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEGLER",
        "first_name": "SANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "FL",
            "license": "9231452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "MEDINA",
            "middle_name": "LORENA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roman Zhykharskyi, CSA
• Adil Zia, M.D.
• Joseph D Zichi, LCSW
• Donna Louise Ziegler, PT
• Karen Ziegler
• Christa Marie Zielinski, CNM
• Jacob Ziemke, DO
• Edward D Ziga, MD, MPH
• Stephanie M Zihlman, PA-C
• William Richard Zihlman, D.P.T

• Occupational Health Registered Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Occupational Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.