NICOLE M SANDERSON


Address: 2516 E Dupont Rd, Fort Wayne, IN 46825-1608
Phone: 2604583755

NICOLE M SANDERSON (NPI# 1013465152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013465152
Entity Type Individual
Full Name NICOLE M SANDERSON
Other Name NICOLE SETSER
Credential NP
Practice Address 2516 E Dupont Rd
Fort Wayne
IN 46825-1608
Mailing Address 6920 Pointe Inverness Way Ste 200
Fort Wayne
IN 46804-7934
Practice Telephone 2604583755
Practice Fax Number 2604583756
Mailing Telephone 2604793516
Mailing Fax Number 2604793520
Enumeration Date 2016-09-19
Last Update Date 2020-10-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 71006648A IN Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
28203112A IN Physician Assistants & Advanced Practice Nursing Providers

Other Providers NICOLE SANDERSON

NPI Name Taxonomy Address Enumeration
1063042018 Nicole Kay Sanderson Pharmacist 2801 Washington Rd, Augusta, GA 30909-2355 2020-01-17

Office Location

Street Address 2516 E DUPONT RD
City FORT WAYNE
State IN
Zip Code 46825-1608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538150404 Allied Physicians Inc., D/b/a Tri-state Physical Medicine Physical Medicine & Rehabilitation 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2005-10-31
1871154401 Kimberly Million Nurse Practitioner 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2019-06-25
1851813018 Andrea Danielle Whitaker Pharmacist 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2017-07-10
1679934707 Julea B. Diffenderfer Dietitian, Registered 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2016-03-17
1073943387 Kara Reyes Physical Therapist 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2013-11-22
1659669513 Lutheran Medical Group LLC Durable Medical Equipment & Medical Supplies 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2011-07-13
1871738930 Tiffany J. Bauman Speech-Language Pathologist 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2008-12-03
1598808156 Kristina R Leavell Physician Assistant 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2007-02-14
1629089453 Jessica L. Ottenweller-butcher Family Medicine 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2006-08-10
1013927904 Brian A. Adams Family Medicine 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2006-08-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336772078 Bradley Murphy Occupational Therapist 2626 St Joe Center Ed, Fort Wayne, IN 46825 2020-02-21
1144851015 Sabryna Roman Developmental Therapist 2626 St Joe Center Rd, Fort Wayne, IN 46825 2020-01-30
1205474103 Ashleigh Miller Developmental Therapist 2626 St. Joe Center Rd, Fort Wayne, IN 46825 2019-12-11
1962055152 Carehalo Ohio LLC General Practice 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 2019-07-17
1306318175 Logan Alan Williams Nurse Anesthetist, Certified Registered 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 2018-12-18
1326582925 Mark F Stoner LLC Dentist 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 2016-12-15
1336695782 Nadine Rene' Handy Nurse Practitioner 3978 New Vision Dr., Fort Wayne, IN 46825 2016-08-26
1558815712 Nathan Paul Miller Physical Therapist 10006 Auburn Park Dr, Fort Wayne, IN 46825 2016-08-05
1013366905 Brianna Abbott Physician Assistant 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 2016-06-10
1003276643 Seiss, LLC Psychologist 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 2016-02-24
Find all providers in zip 46825

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891394599 Laury Farrell Nurse Practitioner 6017 Stoney Creek Dr, Fort Wayne, IN 46825-4410 2020-10-22
1730787599 Crystal Neal Nurse Practitioner 4430 Keeneland Ln Unit 202, Fort Wayne, IN 46845-1985 2020-10-14
1225668312 Kathleen Vanderreyden Nurse Practitioner 3005 E State Blvd, Fort Wayne, IN 46805-4736 2020-01-17
1043703903 Kara Stackhouse Nurse Practitioner 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 2018-06-14
1275980690 April Anderson Nurse Practitioner 6920 Pointe Inverness Way Ste 120, Fort Wayne, IN 46804-7926 2016-05-16
1922470970 Jennifer Carol Littke Nurse Practitioner 6326 Constitution Dr, Fort Wayne, IN 46804-1518 2015-10-28
1275956054 Andrea N Lahrman Nurse Practitioner 11123 Parkview Plaza Dr Ste 106, Fort Wayne, IN 46845-1707 2014-01-29
1417213729 Laura Beth Baker Nurse Practitioner 5750 Falls Drive, Fort Wayne, IN 46804-7147 2012-04-11
1447572441 Kathryn L Smith Nurse Practitioner 11104 Parkview Circle Dr Ste 20, Fort Wayne, IN 46845-1733 2010-02-18
1316180144 Braden M Butterfield Mckinley Nurse Practitioner 2101 E Coliseum Blvd Rm 234, Fort Wayne, IN 46805-1445 2009-04-09
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46825

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Dataset Information

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.

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