Individual provider Active NPI

Sunny Sia, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1760842280
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP9315395 Issued in FL
Practice address
205 W Morgan St
Brandon, FL 33510
Phone
(181) 339-8047
NPI assigned
Feb 25, 2016
Last updated
Aug 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9315395 FL Primary

Addresses

Primary practice location

205 W Morgan St
Brandon, FL 33510

Mailing address

205 W Morgan St
Brandon, FL 33510-4429
Phone (813) 398-0470

Other practice location 1

400 Frandorson Cir
103
Apollo Beach, FL 33572-2688
Phone (813) 398-0470

Other identifiers 1

IdentifierTypeStateIssuer
P01690212OtherFLRR MEDICARE

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1760842280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W MORGAN ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104429",
            "telephone_number": "813-398-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W MORGAN ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33510",
            "telephone_number": "181-339-8047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Frandorson Cir",
            "address_2": "103",
            "address_purpose": "LOCATION",
            "city": "Apollo Beach",
            "state": "FL",
            "postal_code": "335722688",
            "country_code": "US",
            "telephone_number": "813-398-0470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIA",
        "first_name": "SUNNY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-25",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9315395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01690212",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.