Individual provider Active NPI

Karissa Sanders, APRN

  • Adult Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1972086841
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9255162 Issued in FL
Practice address
625 E Twiggs St Ste 103
Tampa, FL 33602-3925
Phone
(813) 228-7696
Fax
(813) 228-0677
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN9255162 FL Primary

Addresses

Primary practice location

625 E Twiggs St Ste 103
Tampa, FL 33602-3925

Mailing address

9929 Ivory Drive
Ruskin, FL 33573
Phone (904) 707-3587

Other practice location 1

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 870-4000

Other practice location 2

1905 W Busch Blvd
Tampa, FL 33612-7675
Phone (813) 365-3525

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
I20191112002069 FL Practitioner - Nurse Practitioner 5597197657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation and Electrodiagnostics PAGroup PAC ID 1153364955, 31 clinicians

Practice addresses (Care Compare)

625 E Twiggs St
Suite 103
Tampa, FL 33602-3910
Phone (813) 228-7696

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9255162FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation and Electrodiagnostics PA CurrentSince Dec 1, 2022 Accepting new patients
Greater Tampa Bay Physician Specialists, LLC CurrentSince Nov 1, 2019 Accepting new patients
Columbia Anesthesia Services, LLC Past Accepting new patients
Jonathan Alvior MD LLC PastSince Oct 23, 2019 Accepting new patients

Locations

3651 Cortez Rd W
Ste 100
Bradenton, FL 34210
Phone (813) 228-7696

625 E Twiggs St
Ste 103
Tampa, FL 33602
Phone (813) 228-7696

2914 N Boulevard
Tampa, FL 33602
Phone (813) 228-7696

508 S Habana Ave
Ste 160
Tampa, FL 33609
Phone (813) 708-8346

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

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": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1972086841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9929 IVORY DRIVE",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "33573",
            "telephone_number": "904-707-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E TWIGGS ST STE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023925",
            "telephone_number": "813-228-7696",
            "fax_number": "813-228-0677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 W Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076307",
            "country_code": "US",
            "telephone_number": "813-870-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1905 W Busch Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336127675",
            "country_code": "US",
            "telephone_number": "813-365-3525",
            "fax_number": "813-365-3515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KARISSA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9255162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.