Individual provider Active NPI

Sara Nutt

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1790691657
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11050233 Issued in FL
Practice address
1023 Canovia Ave
Orlando, FL 32804-2015
Phone
(407) 529-7813
NPI assigned
Aug 20, 2026
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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 11050233 FL Primary

Addresses

Primary practice location

1023 Canovia Ave
Orlando, FL 32804-2015

Mailing address

1023 Canovia Ave
Orlando, FL 32804-2015
Phone (407) 529-7813

Other practice location 1

4063 N Goldenrod Rd Ste 101
Winter Park, FL 32792-8900
Phone (407) 529-7813

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

NPI Registry JSON

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

{
    "created_epoch": "1787184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1790691657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 CANOVIA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328042015",
            "telephone_number": "407-529-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 CANOVIA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328042015",
            "telephone_number": "407-529-7813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4063 N Goldenrod Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327928900",
            "country_code": "US",
            "telephone_number": "407-529-7813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUTT",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11050233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.