Provider Demographics
NPI:1255955043
Name:BEARD, SARA MAY (APRN)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:MAY
Last Name:BEARD
Suffix:
Gender:
Credentials:APRN
Other - Prefix:MISS
Other - First Name:SARA
Other - Middle Name:MAY
Other - Last Name:RIEVELEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:38135 MARKET SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-7505
Mailing Address - Country:US
Mailing Address - Phone:813-280-7300
Mailing Address - Fax:813-377-8139
Practice Address - Street 1:14320 BRUCE B DOWNS BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-2601
Practice Address - Country:US
Practice Address - Phone:813-280-7300
Practice Address - Fax:813-377-1396
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11006036363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11006036OtherAPRN
FLMIN01OtherBCBS