Individual provider Active NPI

Sara Grace Bertrand, ARNP

  • Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1629599030
Registry record updated Sep 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9314228 Issued in FL
Practice address
155 Cranes Roost Blvd Ste 2060
Altamonte Springs, FL 32701-3489
Phone
(407) 949-0222
NPI assigned
Jul 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9314228 FL Primary

Addresses

Primary practice location

155 Cranes Roost Blvd Ste 2060
Altamonte Springs, FL 32701-3489

Mailing address

155 Cranes Roost Blvd Ste 2060
Altamonte Springs, FL 32701-3489
Phone (407) 949-0222

Other practice location 1

917 Rinehart Rd Ste 2001
Lake Mary, FL 32746-4806
Phone (407) 328-8222

Other practice location 2

1910 E Livingston St
Orlando, FL 32803-5523
Phone (386) 333-2293

Other practice location 3

7984 Forest City Rd Unit 102
Orlando, FL 32810-2907
Phone (407) 629-1441

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
9314228FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
More T Clininc LLC PastSince Sep 13, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599264000000",
    "number": "1629599030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CRANES ROOST BLVD STE 2060",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013489",
            "telephone_number": "407-949-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CRANES ROOST BLVD STE 2060",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013489",
            "telephone_number": "407-949-0222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "917 Rinehart Rd Ste 2001",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327464806",
            "country_code": "US",
            "telephone_number": "407-328-8222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 E Livingston St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328035523",
            "country_code": "US",
            "telephone_number": "386-333-2293",
            "fax_number": "386-333-2293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7984 Forest City Rd Unit 102",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328102907",
            "country_code": "US",
            "telephone_number": "407-629-1441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTRAND",
        "first_name": "SARA GRACE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2020-09-05",
        "certification_date": "2020-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9314228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2020; 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.