Active NPI
Sophia Nerdon
- Case Manager/Care Coordinator
- Sebring, FL
National Provider Identifier
1518356948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 680292396
- Practice address
- 2855 Snyder Rd
Sebring, FL 33870-9117 - Phone
- (864) 414-2549
- Fax
- (863) 382-7543
- NPI assigned
- Jan 22, 2015
- Last updated
- Jan 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 680292396 | FL | Primary |
Addresses
Primary practice location
2855 Snyder Rd
Sebring, FL 33870-9117
Mailing address
PO Box 507
Sebring, FL 33871-0507
Phone (863) 414-2549
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680292396 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 680292396 | FL | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1518356948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 507",
"city": "SEBRING",
"state": "FL",
"postal_code": "338710507",
"telephone_number": "863-414-2549",
"fax_number": "863-382-7543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 SNYDER RD",
"city": "SEBRING",
"state": "FL",
"postal_code": "338709117",
"telephone_number": "864-414-2549",
"fax_number": "863-382-7543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NERDON",
"first_name": "SOPHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-22",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": "680292396",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "680292396",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.