Individual provider Active NPI

Sadye Grace Dexter, APRN

  • Family Nurse Practitioner
  • Ormond Beach, FL
National Provider Identifier
1831714906
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1107566 Issued in FL
Practice address
35 Oak Brook Dr
Ormond Beach, FL 32174-7351
Phone
(386) 366-4724
NPI assigned
Jun 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1107566 FL Primary
Critical Care Medicine Registered Nurse 163WC0200X RN9318920 FL

Addresses

Primary practice location

35 Oak Brook Dr
Ormond Beach, FL 32174-7351

Mailing address

35 Oak Brook Dr
Ormond Beach, FL 32174-7351
Phone (386) 366-4724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurologic Consultants LLCGroup PAC ID 2860870169, 4 clinicians

Practice addresses (Care Compare)

325 Clyde Morris Blvd
Suite 390
Ormond Beach, FL 32174-8179
Phone (386) 676-6335

Hospital & facility affiliations

  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9318920FLMDCritical Care Medicine Registered Nurse
1107566FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Vision LLC CurrentSince Nov 22, 2024 Accepting new patients
John R. Chewning DO PA CurrentSince Feb 1, 2021 Accepting new patients
Neurologic Consultants LLC CurrentSince Apr 7, 2025 Accepting new patients

Locations

6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202

7807 Baymeadows Rd E
Ste 209
Jacksonville, FL 32256
Phone (904) 231-1204

1425 Hand Ave
Ste L
Ormond Beach, FL 32174
Phone (386) 256-3977

495 S Nova Rd
Ste 101A
Ormond Beach, FL 32174
Phone (386) 487-4673

325 Clyde Morris Blvd
Ste 390
Ormond Beach, FL 32174
Phone (386) 425-4450

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1831714906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 OAK BROOK DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321747351",
            "telephone_number": "386-366-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 OAK BROOK DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321747351",
            "telephone_number": "386-366-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEXTER",
        "first_name": "SADYE",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-14",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1107566",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "RN9318920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.