Sarai Otano

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11034405 Issued in FL

Practice address

1 South Blvd E
Davenport, FL 33837-7547

Phone

(863) 419-7645

NPI assigned

Jul 29, 2024

Sex

Female

Sole proprietor

Yes

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

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.

• Mid-Florida Psychiatry Center PL

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Davenport, FL
  • NPI 1376599472
  Medicare reassignment NPD

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1700615960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6433 W 9TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126427",
            "telephone_number": "786-322-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOUTH BLVD E",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338377547",
            "telephone_number": "863-419-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTANO",
        "first_name": "SARAI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11034405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Ortiz, PHARMD, RPH
• Orlando Ortiz, SFIDC
• Tamara Michelle Ortiz, MS,CCC/SLP
• Yashira Cristal Ortiz
• Olamide Oshikoya, PHARMD
• Chrispin Okechi Otondi
• Our Friends Speech Therapy LLC
• Sean Charles Pacamalan, CRNA
• Janice Pacheco, BS,RBT
• Makayla Padilla

• Psychiatric/Mental Health Nurse Practitioner in Davenport, FL
• Providers in Davenport, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.