KELLY M SANDERSON (NPI# 1023280377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023280377 |
| Entity Type | Individual |
| Full Name | KELLY M SANDERSON |
| Other Name | KELLY RAY |
| Credential | FNP-BC |
| Practice Address |
3000 Hanover Street, Bldg 20 D- Level Hp Health Center - Palo Alto Palo Alto CA 94304 |
| Practice Telephone | 6503191080 |
| Practice Fax Number | 6503190889 |
| Mailing Telephone | 6503191080 |
| Mailing Fax Number | 6503190889 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2016-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 20621 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
20621 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508893348 | Kelly A Sanderson | Optometrist | 915 Colloredo Blvd, Shelbyville, TN 37160-2780 | 2006-06-27 |
| 1407330822 | Kelly Lynn Sanderson | Speech-Language Pathologist | 620 E Chestnut Hill Rd, Newark, DE 19713-1828 | 2018-09-21 |
| 1902388713 | Kelly Sanderson | Speech-Language Pathologist | 3615 Braselton Hwy Ste 103, Dacula, GA 30019-5907 | 2018-08-29 |
| Street Address |
3000 HANOVER STREET, BLDG 20 D- LEVEL HP HEALTH CENTER - PALO ALTO |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871114934 | Kobi Pflueger | Nurse Practitioner | 855 El Camino Real Ste 95, Palo Alto, CA 94301-2341 | 2020-04-29 |
| 1427528710 | Alyssa Rachael Westerfield | Nurse Practitioner | 900 Blake Wilbur Dr Fl 3, Palo Alto, CA 94304-2201 | 2018-11-29 |
| 1902340276 | Hannah Leigh Anthony | Nurse Practitioner | 725 Welch Rd # Clinicd, Palo Alto, CA 94304-1601 | 2016-12-06 |
| 1255709119 | Michael Kiyoshi Sakamoto | Nurse Practitioner | 750 Welch Rd Ste 215, Palo Alto, CA 94304-1509 | 2015-09-09 |
| 1164859302 | May Nguyen Cao | Nurse Practitioner | 875 Blake Wilbur Dr Mail Code 5820, Palo Alto, CA 94304 | 2013-10-02 |
| 1811207723 | Mae Lavente Dizon | Nurse Practitioner | 211 Quarry Rd Ste 402, Palo Alto, CA 94304-1416 | 2010-10-13 |
| 1740503093 | Danielle Dittrich Dawes | Nurse Practitioner | 725 Welch Rd Unit B, Palo Alto, CA 94304-1601 | 2010-03-01 |
| 1508192212 | Kristin Jensen | Nurse Practitioner | 725 Welch Road, Lucile Packard Children's Hospital, Palo Alto, CA 94304 | 2009-10-30 |
| 1316093768 | Kathryn C Esperance | Nurse Practitioner | 1101 Welch Rd Ste A7, Palo Alto, CA 94304-1924 | 2007-01-26 |
| 1265512156 | Robin Boselli-kao | Nurse Practitioner | 4313 Miranda, Palo Alto, CA 94306 | 2006-10-16 |
| Find all providers in PALO ALTO | ||||
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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.