Active NPI
Astrich Sandra Bodden, ARNP
- Family Nurse Practitioner
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9294514
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9294514 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Current | Accepting new patients | |
| MCR Health, Inc. | Family | Current | Accepting new patients |
| Pathway PT LLC | Current | 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
- 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.
-
dba Riverside Medical Center
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
- Family Medicine Physician
- Sarasota, FL
- NPI 1508546557
-
dba North Manatee Family Healthcare Center
- Federally Qualified Health Center (FQHC)
- Palmetto, FL
- NPI 1841236247
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.