Organization Active NPI

BMP Healthcare, LLC

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1952946477
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BMP HEALTHCARE, LLC
Practice address
5401 Sawyer Rd
Sarasota, FL 34233-2444
Phone
(812) 887-9310
NPI assigned
Nov 7, 2019
Last updated
Nov 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Authorized official

Name
Shelly BuckleyNPI 1740360122
Title
Aprn
Phone
(812) 887-9310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

5401 Sawyer Rd
Sarasota, FL 34233-2444

Mailing address

2100 Doud St Lot 100
Sarasota, FL 34231-6863

Other identifiers 1

IdentifierTypeStateIssuer
WTFMFOtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191217002138 FL Part B Supplier - Clinic/Group Practice 3870927254 Receives reassigned benefits from 1 practitioner
Practice locations: Port Charlotte, FL; Sarasota, FL

National Provider Directory

National Provider Directory

Locations

2100 Doud St
Lot 100
Sarasota, FL 34231

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1952946477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 DOUD ST LOT 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 SAWYER RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332444",
            "telephone_number": "812-887-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BMP HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "812-887-9310"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "WTFMF",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.