SANDRA SANDERSON (NPI# 1013451863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013451863 |
| Entity Type | Individual |
| Full Name | SANDRA SANDERSON |
| Credential | ED.S |
| Practice Address |
140 E Broadway Ave # 13 Jackson WY 83001 |
| Mailing Address |
Po Box 1527 Afton WY 83110-1527 |
| Practice Telephone | 3074136528 |
| Mailing Telephone | 3074134276 |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2019-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
PPC-953 | WY | Behavioral Health & Social Service Providers |
| Y | 103TS0200X |
Psychologist Specialization: School |
PTSB70891 | WY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2001 Dewar Dr, #270, Rock Springs, WY 829015773 | 3073823058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477956167 | Sandra Lynne Sanderson | Physical Therapist | 147 Hoosick St, Troy, NY 12180-2393 | 2014-10-08 |
| 1902210032 | Sandra Sanderson | Registered Nurse | 1255 Golfview Ave, Bartow, FL 33830-6736 | 2014-06-17 |
| Street Address |
140 E BROADWAY AVE # 13 |
| City | JACKSON |
| State | WY |
| Zip Code | 83001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467079061 | Anahi Morillon-jimenez | Social Worker | 140 E Broadway Ave # 13, Jackson, WY 83001-8632 | 2020-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225598436 | Jerome Arzaga | Psychologist | 217 Rex Ave, Jackson, CA 95642-2020 | 2019-03-22 |
| 1396239232 | Christina Bianchi | Psychologist | 217 Rex Ave, Jackson, CA 95642-2020 | 2018-06-14 |
| 1700330875 | Marika Vaden | Psychologist | 480 S Cache St, Jackson, WY 83001-8222 | 2016-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487007969 | Pinnacle Behavior Solutions, LLC. | Psychologist | 125 Indian Lookout Dr, Lander, WY 82520-3057 | 2016-07-19 |
| 1649671371 | Carol Christine Kramer | Psychologist | 3204 E 2nd St, Gillette, WY 82718-8225 | 2014-09-12 |
| 1205197043 | Laura Lea Perez | Psychologist | 3850 North Wilderness Dr., Wilson, WY 83014 | 2012-06-07 |
| 1114167616 | Linda M Clark | Psychologist | 78 Reno Rd, Buffalo, WY 82834-2019 | 2009-02-24 |
| 1215187075 | Donald Kevin Rentz | Psychologist | 5423 Mountain Way, Casper, WY 82601-6902 | 2008-09-29 |
| 1255675815 | Tara Clapp | Psychologist | 507 S 4th St, Laramie, WY 82070-3753 | 2012-11-20 |
Please comment or provide details below to improve the information on SANDRA SANDERSON.
| 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.