Individual provider Active NPI

Leigh Suzanne Willey, APRN

  • Primary Care Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1821664319
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11009045 Issued in FL
Practice address
5711 Gardens Dr
Sarasota, FL 34243-3013
Phone
(770) 866-7314
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN11009045 FL Primary

Addresses

Primary practice location

5711 Gardens Dr
Sarasota, FL 34243-3013

Mailing address

5711 Gardens Dr
Sarasota, FL 34243-3013
Phone (770) 866-7314

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220521000311 FL Practitioner - Nurse Practitioner 3072990506 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Trauma Network, LLC CurrentSince Apr 28, 2025 Accepting new patients
West Florida Physician Network, LLC CurrentSince May 1, 2022 Accepting new patients

Locations

2010 59th St W
Ste 2200
Bradenton, FL 34209
Phone (941) 794-5621

315 75th St W
Bradenton, FL 34209
Phone (941) 761-1616

2010 59th St W
Bradenton, FL 34209
Phone (813) 453-0590

7005 Cortez Rd W
Bradenton, FL 34210
Phone (941) 465-4800

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1821664319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 GARDENS DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342433013",
            "telephone_number": "770-866-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 GARDENS DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342433013",
            "telephone_number": "770-866-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEY",
        "first_name": "LEIGH",
        "middle_name": "SUZANNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11009045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.