Individual provider Active NPI

Tatiana Osma Sangosanya, ARNP

  • Family Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1881711828
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3357032 Issued in FL
Practice address
612 Druid Rd
Clearwater, FL 33756-1739
Phone
(727) 443-6400
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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 3357032 FL Primary

Addresses

Primary practice location

612 Druid Rd
Clearwater, FL 33756-1739

Mailing address

612 Druid Rd E
Clearwater, FL 33756-3912
Phone (727) 443-6400

Other identifiers 1

IdentifierTypeStateIssuer
AH525YOtherPTAN

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
I20080204000363 FL Practitioner - Nurse Practitioner 4082796776 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3357032FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis & Rheumatism Associates PL CurrentSince Apr 11, 2016 Accepting new patients
LBH Med Group LLC PastSince Apr 26, 2015 Accepting new patients

Locations

612 Druid Rd E
Clearwater, FL 33756
Phone (727) 443-6400

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1881711828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 DRUID RD E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563912",
            "telephone_number": "727-443-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 DRUID RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337561739",
            "telephone_number": "727-443-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGOSANYA",
        "first_name": "TATIANA",
        "middle_name": "OSMA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3357032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "AH525Y",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.