Sarah L Back, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11016465 Issued in FL

Practice address

119 Traders Aly
Lakeland, FL 33801-7910

Phone

(863) 333-0553

NPI assigned

Nov 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1972268613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 HILLMAN LN",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131922",
            "telephone_number": "863-860-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 TRADERS ALY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338017910",
            "telephone_number": "863-333-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACK",
        "first_name": "SARAH",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11016465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Baber, P.T.
• Arun Babu
• Melissa Bacci, MD
• Jeffrey Bachelder
• Bernard Patopaten Bachoco, RPT
• Michelle Hope Bacon, APRN
• Sami K Baddoura, M.D.
• Evaristo Placedes Badiola, M.D.
• Juan A Baez Gonzalez, MD
• Walver Baez Mejias, MD

• All providers in Lakeland, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.