Individual provider Active NPI

Sarah Boyd, FNP-BC

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1528896354
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
354204 Issued in NY
Practice address
1811 9TH St N
St Petersburg, FL 33704-4221
Phone
(727) 525-4401
NPI assigned
Jul 23, 2024
Last updated
Dec 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 354204 NY Primary

Addresses

Primary practice location

1811 9TH St N
St Petersburg, FL 33704-4221

Mailing address

2859 13TH Ave N
St Petersburg, FL 33713-5513
Phone (727) 215-8848

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
I20250329000117 FL Practitioner - Nurse Practitioner 4587187661 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
354204NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Waters Edge Medical Clinic Tampa LLC CurrentSince Mar 1, 2025 Accepting new patients
Medical Home PL CurrentSince Jun 21, 2022 Accepting new patients

Locations

1811 Mlk Jr St N
St Petersburg, FL 33704
Phone (727) 525-4401

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1528896354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 13TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337135513",
            "telephone_number": "727-215-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 9TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044221",
            "telephone_number": "727-525-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "SARAH",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "354204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.