KATIE MICHELE SANFORD (NPI# 1336700434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336700434 |
| Entity Type | Individual |
| Full Name | KATIE MICHELE SANFORD |
| Credential | APRN |
| Practice Address |
1755 David Walker Dr Tavares FL 32778-5745 |
| Practice Telephone | 3527428830 |
| Practice Fax Number | 3527428826 |
| Mailing Telephone | 3527428830 |
| Mailing Fax Number | 3527428826 |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2020-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11002963 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
11002963 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932401932 | Katie Jo Sanford | Counselor | 11650 Riverside Dr Ste 10, Studio City, CA 91602 | 2010-11-23 |
| 1063012284 | Katie Moriah Sanford | Pharmacist | 201 Walton Way, Cedar Park, TX 78613-7016 | 2020-10-27 |
| 1821649252 | Katie Sanford | Case Manager/Care Coordinator | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2019-09-26 |
| 1871903575 | Katie Sanford | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Utsw Austin Pediatrics, Dell Children's Medical Center, Austin, TX 78723 | 2014-05-02 |
| Street Address |
1755 DAVID WALKER DR |
| City | TAVARES |
| State | FL |
| Zip Code | 32778-5745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669419248 | Dan Argin Boggus | Family Medicine | 1755 David Walker Dr, Tavares, FL 32778-5745 | 2006-06-01 |
| 1902849458 | Rachel Milkman Solomon | Internal Medicine | 1755 David Walker Dr, Tavares, FL 32778-5745 | 2006-06-13 |
| 1366484446 | Chuong Hoang Vu | Family Medicine | 1755 David Walker Dr, Tavares, FL 32778-5745 | 2006-06-12 |
| 1710929922 | Alice Louise Floyd | Nurse Practitioner | 1755 David Walker Dr, Tavares, FL 32778-5745 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487173753 | Erica Denise Irvin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4681 Marsh Harbor Dr, Tavares, FL 32778 | 2017-09-18 |
| 1922522499 | J&t Divine Care | Home Health | 1554 Auburn Hills Ct, Tavares, FL 32778 | 2017-07-27 |
| 1841738721 | Kelli Maragh | Behavior Technician | 12237 Tavares Ridge Circle, Tavares, FL 32778 | 2017-02-10 |
| 1831633692 | Amanda Williams Sellers | Nurse Practitioner | 1858 Mayo Dr, Tavares, FL 32778 | 2016-12-13 |
| 1235680042 | Natalie Roaine Ash-maheux | Occupational Therapist | 4501 Waterman Way, Tavares, FL 32778 | 2016-10-17 |
| 1396295713 | Sumiko Burley- Collins | Community Health Worker | 1572 Auburn Hills Court, Tavares, FL 32778 | 2016-10-10 |
| 1295100980 | Sunshine Therapy Group, Pa | Speech-Language Pathologist | 2050 Classique Lane, Tavares, FL 32778 | 2015-12-06 |
| 1093188385 | Jana Michelle England | Counselor | 1300 Duncan, Tavares, FL 32778 | 2015-11-09 |
| 1467865980 | Reshma Balmick | Hearing Instrument Specialist | 500 West Burleigh Blvd., Tavares, FL 32778 | 2014-06-03 |
| 1861825739 | Shelagh Kathryn Wood-gouveia | Nurse Practitioner | 1390 East Burleigh Blvd., Tavares, FL 32778 | 2013-08-15 |
| Find all providers in zip 32778 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487284824 | Michael William Lee Jr. | Nurse Practitioner | 1100 Lake Elsie Dr, Tavares, FL 32778-4985 | 2020-01-24 |
| 1831633692 | Amanda Williams Sellers | Nurse Practitioner | 1858 Mayo Dr, Tavares, FL 32778 | 2016-12-13 |
| 1437582822 | Daisy Anndrea Parks | Nurse Practitioner | 1939 Salk Ave, Tavares, FL 32778-4306 | 2013-08-20 |
| 1427674472 | Amanda Katherine Poole | Nurse Practitioner | 1691 Mayo Dr, Tavares, FL 32778-4301 | 2020-06-24 |
| 1104488907 | Genesis Edlin Guerrero | Nurse Practitioner | 1858 Mayo Dr, Tavares, FL 32778-4320 | 2019-07-01 |
| 1518425131 | Shinumol Sabu | Nurse Practitioner | 3150 Waterman Way, Tavares, FL 32778-5252 | 2019-03-04 |
| 1437623998 | Bryan James Mccall | Nurse Practitioner | 1000 Waterman Way, Tavares, FL 32778-5266 | 2019-01-17 |
| 1700392727 | Rona Tagalog | Nurse Practitioner | 1707 Mayo Dr, Tavares, FL 32778-4307 | 2017-12-28 |
| 1649786062 | Carine Elisma | Nurse Practitioner | 1000 Waterman Way, Tavares, FL 32778-5266 | 2017-12-21 |
| 1447780556 | Elizabeth Barger | Nurse Practitioner | 2523 Dora Ave, Tavares, FL 32778-4977 | 2017-06-13 |
| Find all providers in TAVARES | ||||
Please comment or provide details below to improve the information on KATIE MICHELE SANFORD.
| 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.