Active NPI
Yasoda Sandoval
- Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1609794353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11048874
- Practice address
- 4796 Hodges Blvd Ste 101-104
Jacksonville, FL 32224-2348 - Phone
- (954) 636-9326
- NPI assigned
- Jul 9, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11048874 | FL | Primary |
Addresses
Primary practice location
4796 Hodges Blvd Ste 101-104
Jacksonville, FL 32224-2348
Mailing address
4796 Hodges Blvd Ste 101-104
Jacksonville, FL 32224-2348
Phone (954) 636-9326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2359 Caney Wood Court S
Jacksonville, FL 32218-9095
4796 Hodges Blvd
Suite 101
Jacksonville, FL 32224-2209
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1609794353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4796 HODGES BLVD STE 101-104",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322242348",
"telephone_number": "954-636-9326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4796 HODGES BLVD STE 101-104",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322242348",
"telephone_number": "954-636-9326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL",
"first_name": "YASODA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-09",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11048874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.