Active NPI
Sandra Bradford Sharma, PHD, ARNP, BC
- Psychiatric/Mental Health Nurse Practitioner
- Tampa, FL
National Provider Identifier
1942275516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1002322
- Practice address
- 13000 Bruce B Downs Blvd
Mail Code 116a-4
Tampa, FL 33612-4745 - Phone
- (813) 631-7135
- Fax
- (813) 631-7128
- NPI assigned
- Feb 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1002322 | FL | Primary |
Addresses
Primary practice location
13000 Bruce B Downs Blvd
Mail Code 116a-4
Tampa, FL 33612-4745
Mailing address
10903 N 27TH St
Tampa, FL 33612-6225
Phone (813) 972-8751
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120524000105 | FL | Order and Referring Only - Nurse Practitioner | 0840453122 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1002322 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1942275516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10903 N 27TH ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336126225",
"telephone_number": "813-972-8751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13000 BRUCE B DOWNS BLVD",
"address_2": "MAIL CODE 116A-4",
"city": "TAMPA",
"state": "FL",
"postal_code": "336124745",
"telephone_number": "813-631-7135",
"fax_number": "813-631-7128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "SANDRA",
"middle_name": "BRADFORD",
"name_prefix": "Dr.",
"credential": "PHD, ARNP, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "1002322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.