MRS. SANDRA VERRET JOACHIM (NPI# 1063448702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063448702 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA VERRET JOACHIM |
| Other Name | MRS. SANDRA VERRET |
| Credential | RPAC |
| Practice Address |
1403 Medical Plaza Dr Suite 109 Sanford FL 32771-1000 |
| Mailing Address |
418 Marlberry Leaf Ct Kissimmee FL 34758-3694 |
| Practice Telephone | 4073235999 |
| Mailing Telephone | 4073193749 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9101138 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1403 MEDICAL PLAZA DR SUITE 109 |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213234 | Bhupinder S Mangat | Specialist | 1403 Medical Plaza Dr, Ste 204, Sanford, FL 32771-1047 | 2005-05-23 |
| 1164881751 | Matthew Combes | Physician Assistant | 1403 Medical Plaza Dr, Suite 102, Sanford, FL 32771-1000 | 2016-02-11 |
| 1710345723 | Ramon Luis Vega | Chiropractor | 1403 Medical Plaza Dr, Ste 100, Sanford, FL 32771-1000 | 2016-02-04 |
| 1477918415 | The Urology Center | Urology | 1403 Medical Plaza Dr, Suite 101, Sanford, FL 32771-1000 | 2015-12-17 |
| 1548636830 | Paula Wright | Social Worker | 1403 Medical Plaza Dr, 202, Sanford, FL 32771-1000 | 2015-08-20 |
| 1215270764 | Orlando Mota-aquino | Pediatrics | 1403 Medical Plaza Dr, Suite 104, Sanford, FL 32771-1000 | 2013-04-03 |
| 1427340975 | Active Pain and Injury Inc | Pain Medicine | 1403 Medical Plaza Dr, Suite 109, Sanford, FL 32771-1000 | 2011-05-03 |
| 1861636078 | Andrew Craig Skattum | Surgery | 1403 Medical Plaza Dr, Suite 102, Sanford, FL 32771-1000 | 2009-05-01 |
| 1417197393 | Seminole Neurology Associates Pa | Specialist | 1403 Medical Plaza Dr, Suite 204, Sanford, FL 32771-1000 | 2009-03-04 |
| 1700052214 | Jessica K Shutt | Clinical Nurse Specialist | 1403 Medical Plaza Dr, 202, Sanford, FL 32771-1000 | 2008-05-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611565 | Kiarash Peter Rahmanian | Physician Assistant | Central Carolina Hospital - Emergency Medicine, 1135 Carthage Street, Sanford, NC 27330-4162 | 2020-08-24 |
| 1679045835 | Daniel Burleson | Physician Assistant | 1212 Central Dr Ste 103, Sanford, NC 27330-4170 | 2018-12-27 |
| 1588147458 | Tyler Harrell | Physician Assistant | 96 Mountain View Dr, Sanford, NC 27332-1361 | 2018-09-07 |
| 1538675806 | Karli Ann Plunkett | Physician Assistant | 141 Bellagio Cir, Sanford, FL 32771-5000 | 2017-12-21 |
| 1972050458 | Brent Layne | Physician Assistant | 724 South Horner Blvd, Sanford, NC 27330 | 2016-09-01 |
| 1174977185 | Jennifer Lynn Beard | Physician Assistant | 2412 Wilkins Drive, Sanford, NC 27330 | 2016-04-15 |
| 1992111488 | Innovative Healthcare Solutions of Florida LLC | Physician Assistant | 1561 Travertine Ter, Sanford, FL 32771-7731 | 2014-07-07 |
| 1902228786 | Samantha Gordon | Physician Assistant | 1811 Phillips Dr, Sanford, NC 27330 | 2014-01-13 |
| 1629329727 | Leah Marie Gruber | Physician Assistant | 2412 Wilkins Dr., Sanford, NC 27330 | 2012-09-28 |
| 1134442338 | Jennifer Rahn Bridger | Physician Assistant | 717 N Horner Blvd, Sanford, NC 27330-3517 | 2010-03-03 |
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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.