Individual provider Active NPI

Sara Rodriguez, APRN

  • Family Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1861052243
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11002352 Issued in FL
Practice address
1721 S Kings Ave
Brandon, FL 33511-6220
Phone
(813) 750-0488
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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 APRN11002352 FL Primary

Addresses

Primary practice location

1721 S Kings Ave
Brandon, FL 33511-6220

Mailing address

13712 Halliford Dr
Tampa, FL 33624-6903
Phone (813) 731-2912

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
I20210506002288 FL Practitioner - Nurse Practitioner 0345659116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivx Health of Florida PAGroup PAC ID 8426470626, 47 clinicians
360 Medical Care LLCGroup PAC ID 7113396383, 3 clinicians

Practice addresses (Care Compare)

10007 N Dale Mabry Hwy
Tampa, FL 33618-4409
Phone (813) 331-0513

14107 Cortez Blvd
Brooksville, FL 34613-2707
Phone (352) 549-9962

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
360 Medical Care LLC CurrentSince Jan 12, 2026 Accepting new patients
Ivx Health of Florida, P.a. CurrentSince Jan 1, 2022 Accepting new patients
Infusion Express of Kansas LLC Past Accepting new patients

Locations

293 E Altamonte Dr
Ste 1201
Altamonte Springs, FL 32701
Phone (407) 392-3171

14107 Cortez Blvd
Brooksville, FL 34613
Phone (352) 549-9962

10007 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 331-0513

8441 Honore Ave
University Park, FL 34201
Phone (941) 360-3434

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.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1861052243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13712 HALLIFORD DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336246903",
            "telephone_number": "813-731-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116220",
            "telephone_number": "813-750-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SARA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.