Individual provider Active NPI

Sandy DO, APRN

  • Primary Care Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1720857139
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11029715 Issued in FL
Practice address
1287 N Semoran Blvd Ste 200
Orlando, FL 32807-3530
Phone
(407) 273-9410
NPI assigned
Dec 27, 2023
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN11029715 FL Primary

Addresses

Primary practice location

1287 N Semoran Blvd Ste 200
Orlando, FL 32807-3530

Mailing address

11014 Dawnview LN
Orlando, FL 32825-7421

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240214000140 FL Practitioner - Nurse Practitioner 1355785783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Son L Chau PAGroup PAC ID 4486678414, 5 clinicians

Practice addresses (Care Compare)

1287 N Semoran Blvd
Suite 200
Orlando, FL 32807-3530
Phone (407) 273-9410

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Son L Chau PA CurrentSince Jan 2, 2024 Accepting new patients

Locations

1287 N Semoran Blvd
Ste 200
Orlando, FL 32807
Phone (321) 273-9410

Organizations & group practices 1

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": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1720857139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11014 DAWNVIEW LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328257421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 N SEMORAN BLVD STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073530",
            "telephone_number": "407-273-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "SANDY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11029715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.