Individual provider Active NPI

Sara Phuong Thiha Hoang, APRN

  • Family Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1710649322
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11013928 Issued in FL
Practice address
111 W Coral Way
Hollywood, FL 33021-3860
Phone
(954) 962-2009
NPI assigned
Oct 11, 2021
Last updated
Oct 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11013928 FL Primary

Addresses

Primary practice location

111 W Coral Way
Hollywood, FL 33021-3860

Mailing address

513 Racquet Club Rd Apt 56
Weston, FL 33326-1873
Phone (317) 760-8366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230308002588 TX Practitioner - Nurse Practitioner 2769855089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seminole Tribe of FloridaGroup PAC ID 4082710835, 8 clinicians

Practice addresses (Care Compare)

111 W Coral Way
Hollywood, FL 33021-3860
Phone (954) 962-2009

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11013928FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seminole Tribe of Florida Health Dept. Current Accepting new patients
Seminole Tribe of Florida CurrentSince Jan 1, 2023 Accepting new patients

Locations

111 W Coral Way
Hollywood, FL 33021
Phone (954) 962-2009

111 W Coral Way
Rm 107
Hollywood, FL 33021

Organizations & group practices 2

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 1

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": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1710649322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 RACQUET CLUB RD APT 56",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261873",
            "telephone_number": "317-760-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W CORAL WAY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213860",
            "telephone_number": "954-962-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "SARA PHUONG",
        "middle_name": "THIHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11013928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.