Andrea Susan Walborn-Haynie, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9443100 Issued in FL

Practice address

1219 S East Ave Ste 301
Sarasota, FL 34239-2356

Phone

(855) 433-2010

Fax

(855) 433-2010

NPI assigned

Mar 19, 2008

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Andrea Susan Walborn Former name

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

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heart Specialists of Sarasota PLGroup PAC ID 2264346048, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DICCDA

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.

• Heart Specialists of Sarasota PL

  • Cardiovascular Disease Physician
  • Sarasota, FL
  • NPI 1205887809
  Medicare reassignment Care Compare group NPD
• Hni Medical Services of Florida, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1679048284
  Medicare reassignment NPD
• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070
  NPD (past)
• Cardiology Associates of Somerset County,P.a.

  • Cardiovascular Disease Physician
  • Bridgewater, NJ
  • NPI 1922031434
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sarasota County Public Hospital District

  dba Sarasota Memorial Hospital

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932370723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 S EAST AVE STE 301",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392356",
            "telephone_number": "855-433-2010",
            "fax_number": "855-433-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 S EAST AVE STE 301",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392356",
            "telephone_number": "855-433-2010",
            "fax_number": "855-433-2010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 Dogwood Run",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342125026",
            "country_code": "US",
            "telephone_number": "908-803-4813",
            "fax_number": "855-433-2010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALBORN-HAYNIE",
        "first_name": "ANDREA",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "FL",
            "license": "ARNP9443100",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9443100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "WALBORN",
            "middle_name": "SUSAN",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wal-Mart Stores East LP (Walmart Pharmacy 10-7298)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2392)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1171)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2459)
• Wal-Mart Stores East, LP (Vision Center 30-2459)
• Jonathan Daniel Wald, L.AC., A.P
• Kaylene Breanna Walden, MA, BCBA
• Matthew O Waldron, M.D.
• Audrey Waldrup, OTR/L
• Walgreen Co (Walgreens #15260)

• Family Nurse Practitioner in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.