Active NPI
Stephanie Sanford
- Developmental Therapist
- Jacksonville Beach, FL
National Provider Identifier
1629447842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 1212 13TH St N
Jacksonville Beach, FL 32250-3682 - Phone
- (727) 741-3405
- NPI assigned
- Sep 17, 2015
- Last updated
- Sep 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | NU | Primary |
Addresses
Primary practice location
1212 13TH St N
Jacksonville Beach, FL 32250-3682
Mailing address
13333 Solar Dr
Jacksonville, FL 32258-5209
Phone (757) 775-1382
Other names 1
- Stephanie Newell
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1629447842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13333 SOLAR DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322585209",
"telephone_number": "757-775-1382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 13TH ST N",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322503682",
"telephone_number": "727-741-3405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANFORD",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-17",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "NEWELL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville Beach, FL
- Shonda Salisbury, LCSW
- Redner Javier Salonga
- Salus Medical Consultants, LLC (Patrick L Basile, MD Plastic Surgery & Wellness)
- Samson Strength & Performance PT
- Yuliet Sanchez-Rivero, M.D.
- Joyce Ann Savitz, JOYCE SAVITZ
- Rachel Scarpinati, DC
- Andrea Schaeffer--Pautz, M.D.
- Susan Carol Schanen, LCSW
- Timothy Luke Schneider, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.