Individual provider Active NPI

Astrich Sandra Bodden, ARNP

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1851892087
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9294514 Issued in FL
Practice address
300 Riverside Dr E Ste 3300
Bradenton, FL 34208-1024
Phone
(941) 405-1170
NPI assigned
Feb 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9294514 FL Primary

Addresses

Primary practice location

300 Riverside Dr E Ste 3300
Bradenton, FL 34208-1024

Mailing address

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000

Other practice location 1

4226 Arcadia Ave
Sarasota, FL 34232-2701
Phone (941) 296-5796

Other practice location 2

2888 Ringling Blvd Unit Cd
Sarasota, FL 34237-5331
Phone (786) 270-6853

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
I20190508001146 FL Practitioner - Nurse Practitioner 8729320940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCR Health IncGroup PAC ID 7214847995, 132 clinicians

Practice addresses (Care Compare)

300 Riverside Dr E
Suite 2010
Bradenton, FL 34208-1023
Phone (941) 405-1170

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9294514FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Oct 31, 2022 Accepting new patients
MCR Health, Inc. Family CurrentSince Oct 31, 2022 Accepting new patients
Pathway PT LLC CurrentSince Jul 1, 2023 Accepting new patients
MCR Health, Inc. Past Accepting new patients
MCR Health, Inc. Past Accepting new patients

Locations

300 Riverside Dr E
Ste 3300
Bradenton, FL 34208
Phone (941) 405-1170

6015 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 782-0101

101 Riverfront Blvd
Ste 710
Bradenton, FL 34205

300 Riverside Dr E
Ste 2010
Bradenton, FL 34208
Phone (941) 405-1170

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

2888 Ringling Blvd
Unit Cd
Sarasota, FL 34237
Phone (786) 270-6853

Interoperability endpoints

  • Direct secure messaging: astrich.bodden.1@11352.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1851892087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 710",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058812",
            "telephone_number": "941-776-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RIVERSIDE DR E STE 3300",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081024",
            "telephone_number": "941-405-1170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4226 Arcadia Ave",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342322701",
            "country_code": "US",
            "telephone_number": "941-296-5796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2888 Ringling Blvd Unit Cd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342375331",
            "country_code": "US",
            "telephone_number": "786-270-6853",
            "fax_number": "786-270-6853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODDEN",
        "first_name": "ASTRICH",
        "middle_name": "SANDRA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9294514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.