Edna Sacdalan, ARNP

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

ARNP763892 Issued in FL

Practice address

4300 Alton Rd
Suite 359
Miami Beach, FL 33140-2948

Phone

(305) 695-7697

Fax

(305) 674-2604

NPI assigned

Jan 12, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1801285085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "SUITE 359",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-695-7697",
            "fax_number": "305-674-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "SUITE 359",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-695-7697",
            "fax_number": "305-674-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACDALAN",
        "first_name": "EDNA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "FL",
            "license": "ARNP763892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Ivan Rusilko, D.O.
• Anderson Russell, PT,DPT
• Melanie Ryan
• Nicholas J Sabo, D.D.S.
• Victor Sabo, DDS
• Joanna Sachi, D.O.M., A.P.
• Matthew B. Sacks, PH.D.
• Halliye Sadeghi, PHARMACIST
• Fernando Martin Safdie, M.D.
• Ronald Sagarra, MASSAGE THERAPY

• Adult Psychiatric/Mental Health Registered Nurse in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.