Sandi Bernice Lamb-Wilson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11011464 Issued in FL

Practice address

14254 Dr Martin Luther King Jr Blvd
Dover, FL 33527-4414

Phone

(813) 653-6100

NPI assigned

Sep 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suncoast Community Health Centers Inc 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Suncoast Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Ruskin, FL
  • NPI 1285644799

  FL

  Medicare reassignment Care Compare group NPD
• Suncoast Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Wimauma, FL
  • NPI 1518388354
  Care Compare group NPD
• Suncoast Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Dover, FL
  • NPI 1144230640
  Care Compare group
• Suncoast Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Tampa, FL
  • NPI 1366391591
  Care Compare group
• Suncoast Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Plant City, FL
  • NPI 1578573085
  Care Compare group
• Suncoast Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Tampa, FL
  • NPI 1477979748
  Care Compare group
• Suncoast Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Thonotosassa, FL
  • NPI 1609303734
  Care Compare group
• Suncoast Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Brandon, FL
  • NPI 1669830832
  Care Compare group
• Suncoast Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Lakeland, FL
  • NPI 1811240708
  Care Compare group
• Suncoast Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Ruskin, FL
  • NPI 1104836600
  NPD (past)

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1659040301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 11TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342076113",
            "telephone_number": "941-960-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14254 DR MARTIN LUTHER KING JR BLVD",
            "city": "DOVER",
            "state": "FL",
            "postal_code": "335274414",
            "telephone_number": "813-653-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMB-WILSON",
        "first_name": "SANDI",
        "middle_name": "BERNICE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Home Bound Senior Social Assistant LLC
• House of Esther Family Care & Services, LLC
• Samuel Jean-Baptiste
• Soumya Judson Ben, M.D
• Stephanie Karidas Vilardebo, PH.D., CCC-SLP
• Marissa Lawson, APRN
• Living Support Services LLC
• Claudia Maria Lopez Rodriguez, M.D
• Erixis Lopez, PA
• Mirta Lugo, APRN

• All providers in Dover, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.

Verify at the official NPI Registry.