Individual provider Active NPI

Sara Jessica Hughley, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1821547217
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11001238 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-1920
Phone
(352) 294-5481
Fax
(352) 392-6481
NPI assigned
Sep 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-142441 AL
Acute Care Nurse Practitioner 363LA2100X APRN11001238 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-1920

Mailing address

PO Box 100277
Gainesville, FL 32610-0277
Phone (352) 294-5481

Other identifiers 1

IdentifierTypeStateIssuer
104966500MedicaidFL

Other names 1

  • Sara Jessica Rawlins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161102001317 AL Practitioner - Nurse Practitioner 1759669336 Reassigns benefits to 2 organizations
I20190725003748 FL Practitioner - Nurse Practitioner 1759669336 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-142441ALMDAcute Care Nurse Practitioner
APRN11001238FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama at Birmingham Current Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2019 Accepting new patients
University of Alabama at Birmingham CurrentSince Oct 18, 2016 Accepting new patients
University of Alabama at Birmingham CurrentSince Oct 18, 2016 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Oct 18, 2016 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2019 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1813 6th Ave S
Birmingham, AL 35233
Phone (205) 934-1180

908 20th St S
Birmingham, AL 35205
Phone (205) 934-4108

619 19th St S
Birmingham, AL 35249

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

4197 NW 86th Ter
Gainesville, FL 32606
Phone (352) 265-5404

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1821547217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100277",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100277",
            "telephone_number": "352-294-5481",
            "fax_number": "352-392-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326101920",
            "telephone_number": "352-294-5481",
            "fax_number": "352-392-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHLEY",
        "first_name": "SARA",
        "middle_name": "JESSICA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-142441",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11001238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104966500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "RAWLINS",
            "middle_name": "JESSICA",
            "credential": "AGACNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.