SANDRA SUN (NPI# 1124484316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124484316 |
| Entity Type | Individual |
| Full Name | SANDRA SUN |
| Credential | ARNP |
| Practice Address |
1111 12th St Ste 203 Key West FL 33040-3000 |
| Mailing Address |
1308 Petronia St Key West FL 33040-7235 |
| Practice Telephone | 3052941706 |
| Practice Fax Number | 3052948388 |
| Mailing Telephone | 3053939414 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9338059 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1952554628 | Sandra Sun | Behavioral Analyst | 7728 160th St, Fresh Meadows, NY 11366-1947 | 2008-10-28 |
| Street Address |
1111 12TH ST STE 203 |
| City | KEY WEST |
| State | FL |
| Zip Code | 33040-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407892573 | Norman R Tingle Jr. | Family Medicine | 1111 12th St Ste 203, Key West, FL 33040 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326668120 | Key West Nursing Home Propco LLC | Skilled Nursing Facility | 5860 College Road, Key West, FL 33040 | 2020-04-21 |
| 1811461262 | Housing Authority of The Key West | Assisted Living Facility | 1664 Dunlap Drive, Key West, FL 33040 | 2019-01-18 |
| 1154833077 | Katrina Karr Pfander | Speech-Language Pathologist | 24 Jade Dr., Unit 6, Key West, FL 33040 | 2017-11-01 |
| 1356866529 | Kelli Stolar | Case Manager/Care Coordinator | 1205 Fourth Street, Key West, FL 33040 | 2017-08-09 |
| 1861931065 | Kathy Snyder | Case Manager/Care Coordinator | 1205 Fourth St, Key West, FL 33040 | 2017-02-21 |
| 1649722984 | Schanae Cunningham | Social Worker | 1502 Salmon Court, Key West, FL 33040 | 2016-11-03 |
| 1700286127 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 5610 Overseas Highway, Stock Island, FL 33040 | 2014-09-04 |
| 1255747945 | Paul A Tate Jr. | Emergency Medicine | Naval Branch Health Clinic Key West, 1300 Douglas Cir, Key West, FL 33040 | 2014-07-02 |
| 1851644629 | Erin Sheehan | Registered Nurse | 1200 Kennedy Dr Fl 2, Key West, FL 33040 | 2012-10-18 |
| 1861743197 | Sarah Miranda Cox | Social Worker | 1217 White St Ste 201, Key West, FL 33040 | 2012-09-26 |
| Find all providers in zip 33040 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669871703 | Colby Quinn Kohler | Nurse Practitioner | 1714 N Roosevelt Blvd, Key West, FL 33040-7299 | 2014-08-14 |
| 1821371923 | Selina Czerwinski Clow | Nurse Practitioner | 2100 Flagler Ave., Ahec Clinic, Key West, FL 33040-3734 | 2011-09-25 |
| 1336374040 | Ruth Anne Antonowich | Nurse Practitioner | 737a Olivia St, Key West, FL 33040-6444 | 2009-05-26 |
| 1609894047 | David G. Campbell-o'dell | Nurse Practitioner | 1200 4th St, Suite 308, Key West, FL 33040-3763 | 2006-07-17 |
| 1740267913 | Lisa D Benfield | Nurse Practitioner | 3224 N Roosevelt Blvd, Key West, FL 33040-4114 | 2005-12-28 |
| 1962053249 | Raquel Cecil | Nurse Practitioner | 925 Toppino Dr, Key West, FL 33040-4269 | 2019-09-26 |
| 1194372912 | Alyssa Suggs | Nurse Practitioner | 1100 Simonton St, Key West, FL 33040-3110 | 2019-08-26 |
| 1326587734 | Keys Pediatrics Pllc | Nurse Practitioner | 1714 N Roosevelt Blvd, Key West, FL 33040-7299 | 2017-02-17 |
| 1356727705 | Kathy Oconnell | Nurse Practitioner | 1980 N Roosevelt Blvd, Key West, FL 33040-3632 | 2015-08-08 |
| 1033503438 | Samantha D Reynolds | Nurse Practitioner | 925 Toppino Dr, Key West, FL 33040 | 2015-03-24 |
| Find all providers in KEY WEST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.