Individual provider Active NPI

Sondra E Nantes, PA-C

  • Medical Physician Assistant
  • Palm Beach, FL
National Provider Identifier
1689972440
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9114788 Issued in FL
Practice address
324 Royal Palm Way Ste 100
Palm Beach, FL 33480-4325
Phone
(561) 560-7600
NPI assigned
Mar 3, 2011
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9114788 FL Primary

Addresses

Primary practice location

324 Royal Palm Way Ste 100
Palm Beach, FL 33480-4325

Mailing address

324 Royal Palm Way Ste 100
Palm Beach, FL 33480-4325
Phone (561) 560-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ME, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120927000269 FL Practitioner - Physician Assistant 9739364225 Reassigns benefits to 1 organization
I20150629002281 ME Practitioner - Physician Assistant 9739364225 Reassigns benefits to 1 organization
I20200207002193 MA Practitioner - Physician Assistant 9739364225 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002545CTMDVision Therapy Optometrist
PA9114788FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Dec 1, 2020 Accepting new patients
Midcoast Hospital CurrentSince Apr 1, 2016 Accepting new patients
Mainehealth CurrentSince Dec 1, 2020 Accepting new patients
Nantucket Cottage Hospital CurrentSince Dec 1, 2019 Accepting new patients
Sollis Health FL Inc CurrentSince Jul 7, 2024 Accepting new patients

Locations

324 Royal Palm Way
Ste 100
Palm Beach, FL 33480
Phone (561) 560-7600

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

Interoperability endpoints

  • Direct secure messaging: sondra.nantes.1@25843.direct.athenahealth.com

Organizations & group practices 9

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": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1689972440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 ROYAL PALM WAY STE 100",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804325",
            "telephone_number": "561-560-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 ROYAL PALM WAY STE 100",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804325",
            "telephone_number": "561-560-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANTES",
        "first_name": "SONDRA",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-03",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9114788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.