Organization Active NPI

Patti Sperling Arnp LLC

  • Nurse Practitioner
  • Jacksonville, NC
National Provider Identifier
1750409082
Registry record updated Dec 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 9201189 Issued in FL
Legal business name
PATTI SPERLING ARNP LLC
Practice address
402 Myrtlewood Cir
Jacksonville, NC 28546-7412
Phone
(910) 989-2727
Fax
(910) 989-2727
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2010

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

Authorized official

Name
Mr. Arthur Walter Sperling
Title
VP Operations
Phone
(941) 544-2207

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X ARNP 9201189 FL Primary

Addresses

Primary practice location

402 Myrtlewood Cir
Jacksonville, NC 28546-7412

Mailing address

402 Myrtlewood Cir
Jacksonville, NC 28546-7412
Phone (910) 989-2727

Other identifiers 2

IdentifierTypeStateIssuer
306427100MedicaidFL
Y078GOtherFLBC BS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293753600000",
    "number": "1750409082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MYRTLEWOOD CIR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467412",
            "telephone_number": "910-989-2727",
            "fax_number": "910-989-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MYRTLEWOOD CIR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467412",
            "telephone_number": "910-989-2727",
            "fax_number": "910-989-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTI SPERLING ARNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2010-12-31",
        "status": "A",
        "authorized_official_last_name": "SPERLING",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "941-544-2207",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 9201189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306427100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "Y078G",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2010; 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.