MRS. SANDRA DIXON KNUDSON (NPI# 1114917671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114917671 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA DIXON KNUDSON |
| Other Name | MISS SANDRA JEAN DIXON |
| Credential | R.N.N.P. |
| Practice Address |
7555 N Del Mar Ave #101 Fresno CA 93711-6860 |
| Mailing Address |
5635 N 4th St Fresno CA 93710-6331 |
| Practice Telephone | 5593537125 |
| Practice Fax Number | 5593537463 |
| Mailing Telephone | 5592857188 |
| Mailing Fax Number | 5593537463 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163WH0200X |
Registered Nurse Specialization: Home Health |
235654 | CA | Nursing Service Providers |
| X | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
235654 | CA | Nursing Service Providers |
| X | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
3089 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255478632 | Sandra L Knudson | Specialist | 1000 South Columbia Road, Grand Forks, ND 58206-6002 | 2007-02-01 |
| Street Address |
7555 N DEL MAR AVE #101 |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-6860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508937277 | Childrens Hospital Homecare | Durable Medical Equipment & Medical Supplies | 7555 N Del Mar Ave, Suite 101, Fresno, CA 93711-6860 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639655954 | Anthonia Osatohanmwen Osifo | Registered Nurse | 247 Evergreen St, Fresno, TX 77545-7659 | 2018-07-19 |
| 1447524491 | Vatsana Vongsavanh | Registered Nurse | 1951 N Gateway Blvd Ste 103, Fresno, CA 93727-1643 | 2012-03-07 |
| 1003914060 | Amy Joy Morris | Registered Nurse | 5688 N Colonial Ave, Fresno, CA 93704-1814 | 2006-09-20 |
| 1316403843 | Justin Anowey | Registered Nurse | 3018 Hurst Green Ln, Fresno, TX 77545-1405 | 2019-02-20 |
| 1619365780 | Meliton V. Pallares Jr. | Registered Nurse | 2042 Kern St, Fresno, CA 93721-2008 | 2014-12-24 |
| 1801161989 | John Jay Mendel | Registered Nurse | 1951 N Gateway Blvd, Suite 103, Fresno, CA 93727-1643 | 2012-03-21 |
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|---|---|---|---|---|
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| 1164036950 | Carol Theresa Brown | Registered Nurse | 14582 Agave St, Moreno Valley, CA 92553-7164 | 2020-08-31 |
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| 1285247601 | Abena Bonsu | Registered Nurse | 5362 Fairview Blvd, Los Angeles, CA 90056-2308 | 2020-08-25 |
| 1710590245 | International Medical Group Inc, Home Healthcare & Hospice | Registered Nurse | 14431 Ventura Blvd Ste 507, Sherman Oaks, CA 91423-2606 | 2020-08-25 |
| 1942810049 | Andrew Christian Malintang | Registered Nurse | 1466 Shane Ct, Redlands, CA 92374-5710 | 2020-08-04 |
| 1568072916 | Halyna Kravets | Registered Nurse | 1402 W Colonial Pkwy, Roseville, CA 95661-5007 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
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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.