Individual provider Active NPI

Ratsany Sananikone, APRN

  • Family Nurse Practitioner
  • Edinburgh, IN
National Provider Identifier
1750049474
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11008249 Issued in FL
Practice address
Camp Atterbury
Edinburgh, IN 46124
Phone
(561) 810-9936
NPI assigned
Nov 30, 2021
Last updated
Nov 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 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 11008249 FL Primary

Addresses

Primary practice location

Camp Atterbury
Edinburgh, IN 46124

Mailing address

34 Valencia Dr
Boynton Beach, FL 33436-1858
Phone (561) 810-9936

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL none Other

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
11008249FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1750049474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 VALENCIA DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361858",
            "telephone_number": "561-810-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAMP ATTERBURY",
            "city": "EDINBURGH",
            "state": "IN",
            "postal_code": "46124",
            "telephone_number": "561-810-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANANIKONE",
        "first_name": "RATSANY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "none",
            "affiliation": "N",
            "endpointDescription": "none",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "CAMP ATTERBURY",
            "city": "EDINBURGH",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edinburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.