Individual provider Active NPI

Lorraine A Sugar

  • Contractor
  • Ocklawaha, FL
National Provider Identifier
1629033139
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
690259696 Issued in FL
Practice address
15343 SE 113TH Street Rd
Ocklawaha, FL 32179-5536
Phone
(352) 288-3489
Fax
(352) 288-3489
NPI assigned
Apr 18, 2006
Last updated
May 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 690259696 FL Primary

Addresses

Primary practice location

15343 SE 113TH Street Rd
Ocklawaha, FL 32179-5536

Mailing address

15343 SE 113TH Street Rd
Ocklawaha, FL 32179-5536
Phone (352) 288-3489

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

LicenseStateTypeSpecialty
690259696FLMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1629033139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15343 SE 113TH STREET RD",
            "city": "OCKLAWAHA",
            "state": "FL",
            "postal_code": "321795536",
            "telephone_number": "352-288-3489",
            "fax_number": "352-288-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15343 SE 113TH STREET RD",
            "city": "OCKLAWAHA",
            "state": "FL",
            "postal_code": "321795536",
            "telephone_number": "352-288-3489",
            "fax_number": "352-288-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGAR",
        "first_name": "LORRAINE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "690259696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocklawaha, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.