Active NPI
Sandryn Marie Taylor- Wysiekierski, APRN
- Pediatric Nurse Practitioner
- Orlando, FL
National Provider Identifier
1962951202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 11016848
- Practice address
- 4412 Curry Ford Rd
Orlando, FL 32812-2709 - Phone
- (407) 357-0040
- Fax
- (844) 612-3977
- NPI assigned
- Sep 28, 2016
- Last updated
- Oct 27, 2026
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 11016848 | FL | Primary |
Addresses
Primary practice location
4412 Curry Ford Rd
Orlando, FL 32812-2709
Mailing address
2000 Palm Beach Lakes Blvd Ste 901
West Palm Beach, FL 33409-6506
Phone (561) 509-5009
Other practice location 1
737 Stirling Center Pl Ste 1809
Lake Mary, FL 32746-5715
Phone (407) 878-6008
Other practice location 2
425 S Hunt Club Blvd
Apopka, FL 32703-4947
Phone (407) 786-4080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11016848 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntclub Pediatric Associates, LLC | Past | Accepting new patients | |
| Palm Beach Pediatrics, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GHAADD
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Apopka, FL
- NPI 1063568855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793059200000",
"number": "1962951202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 PALM BEACH LAKES BLVD STE 901",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334096506",
"telephone_number": "561-509-5009",
"fax_number": "844-612-3977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4412 CURRY FORD RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328122709",
"telephone_number": "407-357-0040",
"fax_number": "844-612-3977"
}
],
"practiceLocations": [
{
"address_1": "737 Stirling Center Pl Ste 1809",
"address_purpose": "LOCATION",
"city": "Lake Mary",
"state": "FL",
"postal_code": "327465715",
"country_code": "US",
"telephone_number": "407-878-6008",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "425 S Hunt Club Blvd",
"address_purpose": "LOCATION",
"city": "Apopka",
"state": "FL",
"postal_code": "327034947",
"country_code": "US",
"telephone_number": "407-786-4080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR- WYSIEKIERSKI",
"first_name": "SANDRYN",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-28",
"last_updated": "2026-10-27",
"certification_date": "2026-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "11016848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.