Individual provider Active NPI

Arsenia Pomperada Sabusap, ARNP,RN

  • Family Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1548762552
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1979652 Issued in FL
Practice address
Grace Medical Center of Florida
4212 Northlake Blvd.
Palm Beach Gardens, FL 33410
Phone
(561) 841-6252
Fax
(561) 841-6260
NPI assigned
Mar 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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 1979652 FL Primary

Addresses

Primary practice location

Grace Medical Center of Florida
4212 Northlake Blvd.
Palm Beach Gardens, FL 33410

Mailing address

4105 Torres Cir
West Palm Beach, FL 33409-8122
Phone (561) 697-9872

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)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1979652FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1548762552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 TORRES CIR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334098122",
            "telephone_number": "561-697-9872",
            "fax_number": "561-697-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GRACE MEDICAL CENTER OF FLORIDA",
            "address_2": "4212 NORTHLAKE BLVD.",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-841-6252",
            "fax_number": "561-841-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABUSAP",
        "first_name": "ARSENIA",
        "middle_name": "POMPERADA",
        "name_prefix": "Mrs.",
        "credential": "ARNP,RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1979652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.