Individual provider Active NPI

Sarah Ravelli, ARNP-C

  • Adult Health Nurse Practitioner
  • Deerfield Beach, FL
National Provider Identifier
1841727328
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9313961 Issued in FL
Practice address
1898 W Hillsboro Blvd Ste H
Deerfield Beach, FL 33442-1434
Phone
(954) 571-9392
Fax
(954) 289-4888
NPI assigned
May 16, 2017
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X ARNP9313961 FL
Adult Health Nurse Practitioner 363LA2200X APRN9313961 FL Primary

Addresses

Primary practice location

1898 W Hillsboro Blvd Ste H
Deerfield Beach, FL 33442-1434

Mailing address

4605 Rothschild Dr
Coral Springs, FL 33067-4137
Phone (330) 277-1131

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
I20210521000807 FL Practitioner - Nurse Practitioner 2961801048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9313961FLMDAdult Health Nurse Practitioner
ARNP9313961FLMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1841727328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 ROTHSCHILD DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674137",
            "telephone_number": "330-277-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1898 W HILLSBORO BLVD STE H",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421434",
            "telephone_number": "954-571-9392",
            "fax_number": "954-289-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVELLI",
        "first_name": "SARAH",
        "credential": "ARNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "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": "ARNP9313961",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9313961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.