Individual provider Active NPI

Sophia B Moorjani, ARNP

  • Adult Health Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1689012163
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9277040 Issued in FL
Practice address
12809 Kite Drive
Bradenton, FL 34212
Phone
(941) 803-8135
NPI assigned
Jun 6, 2013
Last updated
Jun 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9277040 FL Primary

Addresses

Primary practice location

12809 Kite Drive
Bradenton, FL 34212

Mailing address

12809 Kite Dr
Bradenton, FL 34212-2968
Phone (941) 803-8135

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130830000092 FL Practitioner - Nurse Practitioner 0345483962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul Chmielewski MD PLLCGroup PAC ID 2668549395, 7 clinicians

Practice addresses (Care Compare)

6150 Edgelake Dr
Sarasota, FL 34240-8803
Phone (941) 925-3427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9277040FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Chmielewski MD PLLC CurrentSince Aug 1, 2024 Accepting new patients
Mda Anesthesia, LLC CurrentSince Aug 1, 2023 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Emergency Medicine Services of FL, LLC Past Accepting new patients

Locations

39200 Hooker Hwy
Belle Glade, FL 33430
Phone (561) 992-9477

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

6150 Edgelake Dr
Sarasota, FL 34240
Phone (217) 369-4168

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300501

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1689012163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12809 KITE DR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342122968",
            "telephone_number": "941-803-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12809 KITE DRIVE",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34212",
            "telephone_number": "941-803-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORJANI",
        "first_name": "SOPHIA",
        "middle_name": "B",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9277040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.