Active NPI
Sandra Paquingan Kloman, ARNP
- Acute Care Nurse Practitioner
- Pensacola, FL
National Provider Identifier
1811181985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 3358402
- Practice address
- 9400 University Parkway #10C
Medical Professional Agency
Pensacola, FL 32514 - Phone
- (850) 623-2948
- Fax
- (850) 626-2734
- NPI assigned
- Aug 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 3358402 | FL | |
| Acute Care Nurse Practitioner | 363LA2100X | 3358402 | FL | Primary |
Addresses
Primary practice location
9400 University Parkway #10C
Medical Professional Agency
Pensacola, FL 32514
Mailing address
P.O. Box 893
Medical Professional Agency
Milton, FL 32572-0893
Phone (850) 623-2948
Other names 1
- Sandra Paquingan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3358402 | FL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Services Group of Florida, LLC | Current | Accepting new patients | |
| Psgfl MSSP, LLC | Current | Accepting new patients | |
| Careconnectmd Florida P.a. | Current | Accepting new patients | |
| Medical Professional Agency Inc | Past | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
8325 University Pkwy
Ste A
Pensacola, FL 32514
Phone (850) 324-9633
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Jacksonville, FL
- NPI 1912632886
-
- Family Medicine Physician
- Gulf Breeze, FL
- NPI 1235775396
-
- Multi-Specialty Clinic/Center
- Gulf Breeze, FL
- NPI 1689557936
-
- Adult Medicine Physician
- Pensacola, FL
- NPI 1427174762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219968000000",
"number": "1811181985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 893",
"address_2": "MEDICAL PROFESSIONAL AGENCY",
"city": "MILTON",
"state": "FL",
"postal_code": "325720893",
"telephone_number": "850-623-2948",
"fax_number": "850-626-2734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 UNIVERSITY PARKWAY #10C",
"address_2": "MEDICAL PROFESSIONAL AGENCY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32514",
"telephone_number": "850-623-2948",
"fax_number": "850-626-2734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOMAN",
"first_name": "SANDRA",
"middle_name": "PAQUINGAN",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-31",
"last_updated": "2008-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "3358402",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "3358402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "PAQUINGAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.