Active NPI
Sharon R Sanquist
- Social Worker
- Cocoa, FL
National Provider Identifier
1639426430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1407 Dixon Blvd
Cocoa, FL 32922-6411 - Phone
- (321) 452-0800
- Fax
- (321) 394-0385
- NPI assigned
- Aug 10, 2012
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1407 Dixon Blvd
Cocoa, FL 32922-6411
Mailing address
1407 Dixon Blvd
Cocoa, FL 32922-6411
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crosswinds Youth Services | Past | Accepting new patients | |
| Crosswinds Youth Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Case Management Agency
- Cocoa, FL
- NPI 1407100027
-
- Community/Behavioral Health Agency
- Cocoa, FL
- NPI 1245404375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1639426430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 DIXON BLVD",
"city": "COCOA",
"state": "FL",
"postal_code": "329226411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 DIXON BLVD",
"city": "COCOA",
"state": "FL",
"postal_code": "329226411",
"telephone_number": "321-452-0800",
"fax_number": "321-394-0385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANQUIST",
"first_name": "SHARON",
"middle_name": "R",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-10",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.