MS. SANDRA DAYLE CRUICKSHANK (NPI# 1114911864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114911864 |
| Entity Type | Individual |
| Full Name | MS. SANDRA DAYLE CRUICKSHANK |
| Other Name | SANDRA DAYLE PAULSON |
| Credential | FNP |
| Practice Address |
100 West Wicks Lane Billings MT 59105-1539 |
| Practice Telephone | 4062948643 |
| Mailing Telephone | 4062948643 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2015-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NUR RN LIC 8033 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 4300595 | 05 |
| Street Address |
100 WEST WICKS LANE |
| City | BILLINGS |
| State | MT |
| Zip Code | 59105-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376181271 | Colette Urfer | Counselor | 1017 Babcock Blvd, Billings, MT 59105 | 2019-12-11 |
| 1922541028 | Michelle Davis | Counselor | 505 Milton Road, Billings, MT 59105 | 2016-11-22 |
| 1265974299 | Heidi Kenney | Counselor | 1345 Elaine St, Billings, MT 59105 | 2016-11-08 |
| 1134582992 | Alexandra Petrino | Counselor | 926 Main St Ste 22d, Billings, MT 59105 | 2016-03-30 |
| 1548685415 | Sarah Marie Lawler | Occupational Therapy Assistant | 1415 Yellowstone River Rd., Billings, MT 59105 | 2014-02-28 |
| 1861788325 | Katrina Marie Rauch | Midwife | 15 W Wicks Lane, Suite B, Billings, MT 59105 | 2011-06-23 |
| 1356592349 | Robert Allan Bronecki | Dentist | 926 Main, Suite #23, Billings, MT 59105 | 2008-10-08 |
| 1902933385 | Andrew W Pickens | Dentist | 730 Main, Suite 101, Billings, MT 59105 | 2007-02-27 |
| 1578651352 | Daniel T Mcquinn | Dentist | 760 Wicks Lane, Billings, MT 59105 | 2006-10-10 |
| 1750376299 | Lantis Enterprises, Inc | Speech-Language Pathologist | 1415 Yellowstone River Rd, Billings, MT 59105 | 2005-09-12 |
| Find all providers in zip 59105 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417562307 | Leann N Rensch | Nurse Practitioner | 12343 W Farm Road 194, Billings, MO 65610-8987 | 2020-09-09 |
| 1528672979 | Melanie Funke | Nurse Practitioner | 272 Aswan Pl, Billings, MT 59105-2910 | 2020-09-02 |
| 1487151320 | Pamela Julianna Barr | Nurse Practitioner | 1144 N Broadway Ste C, Billings, MT 59101-0110 | 2018-04-08 |
| 1548768674 | Lisa Marie Ehret | Nurse Practitioner | 3165 King Ave E, Billings, MT 59101-5529 | 2018-01-23 |
| 1679005060 | Ginger Raye Silvers | Nurse Practitioner | 2800 10th Ave North, Po Box 35100, Billings, MT 59107-5100 | 2017-04-03 |
| 1972055606 | Anthony Wayne Inmon | Nurse Practitioner | 3976 State Highway Zz, Billings, MO 65610-9068 | 2016-10-28 |
| 1184004178 | Joy Chinaram Bright-agindotan | Nurse Practitioner | 1101 N 27th Street Suite 101, Billings, MT 59101 | 2015-06-04 |
| 1427473289 | Jane Rene' Hamilton | Nurse Practitioner | 700 Exxon Mobil Rd, Exxon Mobil Refinery, Billings, MT 59101 | 2014-03-03 |
| 1831329804 | Melissa Lynn Fuller | Nurse Practitioner | 4045 Avenue B, Billings, MT 59106-1738 | 2009-07-23 |
| 1093876211 | Barbara Ann Gillen | Nurse Practitioner | 2315 St Andrews Dr, Billings, MT 59105-3658 | 2006-12-12 |
| Find all providers in BILLINGS | ||||
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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.