Individual provider Active NPI

Jessica Sands, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1720645062
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9409355 Issued in FL
Practice address
1530 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4202
Phone
(727) 202-9442
Fax
(727) 265-2507
NPI assigned
May 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 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 APRN9409355 FL Primary

Addresses

Primary practice location

1530 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4202

Mailing address

1530 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4202
Phone (727) 202-9442

Other names 1

  • Mrs. Jessica Jasmin Sands Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN9409355FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Petersburg Dermatology, LLC CurrentSince Apr 6, 2021 Accepting new patients
Spartan Anesthesia Associates PA PastSince Jul 1, 2020 Accepting new patients
Re3 Stem Cell and Healing Institute PLLC PastSince Jul 1, 2020 Accepting new patients

Locations

1530 Dr Ml King Jr St N
St Petersburg, FL 33704
Phone (721) 720-2944

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1720645062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044202",
            "telephone_number": "727-202-9442",
            "fax_number": "727-265-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044202",
            "telephone_number": "727-202-9442",
            "fax_number": "727-265-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDS",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9409355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SANDS",
            "middle_name": "JASMIN",
            "prefix": "MRS.",
            "credential": "DNP, FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.