Individual provider Active NPI

Alexis Leeann Sulkowski, APRN

  • Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1760265490
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11027319 Issued in FL
Practice address
5573 Marquesas Cir
Sarasota, FL 34233-3332
Phone
(941) 923-7546
NPI assigned
Aug 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11027319 FL Primary

Addresses

Primary practice location

5573 Marquesas Cir
Sarasota, FL 34233-3332

Mailing address

5573 Marquesas Cir
Sarasota, FL 34233-3332
Phone (772) 285-9066

Other practice location 1

2200 Oriole Dr
Sarasota, FL 34239-3731
Phone (772) 285-9066

Other names 1

  • Alexis Leeann Sulkowski Former 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
11027319FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1760265490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5573 MARQUESAS CIR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333332",
            "telephone_number": "772-285-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5573 MARQUESAS CIR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333332",
            "telephone_number": "941-923-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Oriole Dr",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342393731",
            "country_code": "US",
            "telephone_number": "772-285-9066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULKOWSKI",
        "first_name": "ALEXIS",
        "middle_name": "LEEANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11027319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "SULKOWSKI",
            "middle_name": "LEEANN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.