Individual provider Active NPI

Sandy Corredera, NP

  • Family Nurse Practitioner
  • Wilton Manors, FL
National Provider Identifier
1972963619
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9171439 Issued in FL
Practice address
1701 NE 26TH St
Wilton Manors, FL 33305-1412
Phone
(872) 231-3162
NPI assigned
Feb 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9171439 FL Primary

Addresses

Primary practice location

1701 NE 26TH St
Wilton Manors, FL 33305-1412

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (702) 899-0595

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
I20170929001980 FL Practitioner - Nurse Practitioner 0345515417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
73.72
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9171439FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Physiatry Group LLC CurrentSince Aug 17, 2017 Accepting new patients
National Health Rehabilitation LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

1114 Chatman Blvd
Brooksville, FL 34601
Phone (352) 796-6701

5493 Wiles Rd
Ste 106
Coconut Creek, FL 33073
Phone (321) 214-4530

4125 W Sample Rd
Coconut Creek, FL 33073
Phone (954) 309-1126

703 S 29th St
Fort Pierce, FL 34947
Phone (201) 654-3130

1615 Miami Rd
Ft Lauderdale, FL 33316
Phone (954) 523-5673

2121 E Commercial Blvd
Ft Lauderdale, FL 33308
Phone (954) 771-8400

12505 NE 16th Ave
North Miami, FL 33161
Phone (305) 891-1210

2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700

1730 Mayo Dr
Tavares, FL 32778
Phone (352) 525-3001

1701 NE 26th St
Wilton Manors, FL 33305
Phone (386) 562-4899

850 Central Pkwy E
Ste 275
Plano, TX 75074

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1972963619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 NE 26TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051412",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREDERA",
        "first_name": "SANDY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9171439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

Verify at the official NPI Registry.