Individual provider Active NPI

Diana Sanders, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1558764381
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN2619582 Issued in FL
Practice address
2701 SW 98TH Ave
Miami, FL 33165-2620
Phone
(305) 978-5274
NPI assigned
Oct 7, 2014
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 APRN2619582 FL Primary

Addresses

Primary practice location

2701 SW 98TH Ave
Miami, FL 33165-2620

Mailing address

2701 SW 98TH Avenue
Miami, FL 33165-2620
Phone (305) 978-5274

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
I20190214000312 FL Practitioner - Nurse Practitioner 6406112168 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medsource Consultants LLCGroup PAC ID 3870628233, 6 clinicians

Practice addresses (Care Compare)

1001 SW 22ND St
Miami, FL 33129-2713
Phone (305) 975-7774

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN2619582FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medsource Consultants LLC CurrentSince Jun 25, 2018 Accepting new patients
Wound Technology Network Inc CurrentSince Mar 1, 2020 Accepting new patients
WT Health of Florida LLC CurrentSince May 2, 2025 Accepting new patients
Wound Technology Network Past Accepting new patients

Locations

200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263

5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702

Organizations & group practices 4

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": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1558764381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 SW 98TH AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652620",
            "telephone_number": "305-978-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SW 98TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652620",
            "telephone_number": "305-978-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "DIANA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN2619582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.