Active NPI
Patti Sperling Arnp LLC
- Nurse Practitioner
- Jacksonville, NC
National Provider Identifier
1750409082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP 9201189
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | |||
| Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306427100 | Medicaid | FL | |
| Y078G | Other | FL | BC BS |
National Provider Directory
National Provider DirectoryNPI 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.