NPIMap

Individual provider Active NPI

Samantha Sugarman, ARNP

  • Nurse Practitioner
  • Pinellas Park, FL
National Provider Identifier
1700334612
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9432866 Issued in FL
Practice address
6229 66TH St N
Pinellas Park, FL 33781-5025
Phone
(727) 623-9913
Fax
(727) 803-6852
NPI assigned
Sep 20, 2016
Last updated
Nov 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9432866 FL Primary
Family Nurse Practitioner 363LF0000X RN285120 GA

Addresses

Primary practice location

6229 66TH St N
Pinellas Park, FL 33781-5025

Mailing address

145 Eagles Walk
Stockbridge, GA 30281-7340
Phone (770) 914-1808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170110000076 FL Practitioner - Nurse Practitioner 6507147329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Endocrinology and Diabetes Center LLCGroup PAC ID 0941442172, 5 clinicians

Practice addresses (Care Compare)

6229 66TH St N
Pinellas Park, FL 33781-5025
Phone (727) 623-9913

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9432866FLMDNurse Practitioner
RN285120GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Endocrinology & Diabetes Center LLC CurrentSince Dec 8, 2019 Accepting new patients
Aylo Health, LLC Past Accepting new patients
St. Pete Endocrinology Associates, P.a. Past Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Past Accepting new patients

Locations

6229 66th St N
Pinellas Park, FL 33781
Phone (727) 528-1888

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBFFBA

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1700334612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 EAGLES WALK",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817340",
            "telephone_number": "770-914-1808",
            "fax_number": "770-914-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6229 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815025",
            "telephone_number": "727-623-9913",
            "fax_number": "727-803-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGARMAN",
        "first_name": "SAMANTHA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9432866",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN285120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.