STEPHANIE SANDERSON


Address: 15 Sw Everett Mall Way Ste A, Everett, WA 98204-2715
Phone: 8885625442

STEPHANIE SANDERSON (NPI# 1205477361) 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) 1205477361
Entity Type Individual
Full Name STEPHANIE SANDERSON
Other Name STEPHANIE SIDWELL
Credential NP-BC
Practice Address 15 Sw Everett Mall Way Ste A
Everett
WA 98204-2715
Practice Telephone 8885625442
Mailing Telephone 8885625442
Enumeration Date 2019-09-30
Last Update Date 2019-09-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LC1500X Nurse Practitioner
Specialization: Community Health
AP61006352 WA Physician Assistants & Advanced Practice Nursing Providers

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1902870231 Stephanie M Sanderson Pediatrics 1060 Peerless Xing, Nw #100, Peerless Pediatrics, Cleveland, TN 37312-3784 2006-02-14
1114530086 Stephanie Michelle Sanderson Peer Specialist 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 2020-08-28
1194378448 Stephanie Sanderson Social Worker 600 1st St Nw Ste 200, Albuquerque, NM 87102-2311 2019-07-16
1932689213 Stephanie Sanderson Physical Therapy Assistant 500 W 3rd Ave Ste 6, Corsicana, TX 75110-4564 2018-08-16
1326173303 Stephanie Rae Sanderson Clinical Nurse Specialist 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2745 2007-02-22

Office Location

Street Address 15 SW EVERETT MALL WAY STE A
City EVERETT
State WA
Zip Code 98204-2715

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528377991 Sonya Beth Starr Nurse Practitioner 15 Sw Everett Mall Way Ste A, Everett, WA 98204 2010-10-01
1659897163 Molina Healthcare of Washington, Inc Internal Medicine 15 Sw Everett Mall Way Ste A, Everett, WA 98204-2715 2017-08-16
1255889044 Kaari Corbridge Clinic/Center 15 Sw Everett Mall Way Ste A, Everett, WA 98204 2016-09-21
1336511575 Lucy Chege Registered Nurse 15 Sw Everett Mall Way Ste A, Everett, WA 98204-2715 2015-10-27
1730587700 Rhonda Rasmussen Nurse Practitioner 15 Sw Everett Mall Way Ste A, Everett, WA 98204-2715 2014-12-08
1144625542 Shanna Marie Moore Nurse Practitioner 15 Sw Everett Mall Way Ste A, Everett, WA 98204-2715 2014-10-28
1861820425 Emily Chao Wong Naturopath 15 Sw Everett Mall Way Ste A, Everett, WA 98204-2715 2013-10-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588262869 Samuel Lin, Nd, Pllc Naturopath 13410 Hwy 99, Ste 202, Everett, WA 98204 2020-10-09
1003458225 Svetlana A Gayevskaya Technician 12605 E. Gibson Rd. Unit # 87, Everett, WA 98204 2019-10-09
1821555921 Kymberly Ann Shepherd Counselor 1011 128th St Sw, E201, Everett, WA 98204 2019-02-25
1609392653 Mohammed Bayo Nurse's Aide 9217 4th Ave. West, Everett, WA 98204 2017-08-21
1962951582 Abreham Shoangizaw Pharmacist 802 134th S B C, Everett, WA 98204 2016-09-23
1588012694 Tammy J Laird Counselor 9300 Evergreen Way, Everett, WA 98204 2016-05-31
1083011282 Bernadette K Stanek Massage Therapist 13410 Washington 99 #204, Everett, WA 98204 2014-12-03
1356771067 Dixon Stopper Hearing Instrument Specialist 12811 8th Ave W Ste B203, Everett, WA 98204 2013-11-15
1427312495 Dan Huy Nguyen Respiratory Therapist, Registered 1919 112th Street Southwest, Everett, WA 98204 2012-06-25
1942571880 Alena A Klimenko Specialist 12811 8th- Ave W, Suite B-103, Everett, WA 98204 2012-01-24
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Taxonomy Information

Taxonomy Code 363LC1500X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154419703 Maureen M Mckenzie Nurse Practitioner 4111 194th St Sw, Lynnwood, WA 98036-4604 2006-10-10
1336240902 Marchell Rene Spielmann Nurse Practitioner 1546 Reservation Rd Se, Olympia, WA 98513-9415 2006-09-26
1538117650 Jolie Ewart Nurse Practitioner 220 E Rowan Ave, Ste 300, Spokane, WA 99207-1202 2006-05-04
1386293561 Emily Jane Lippold Nurse Practitioner 206 3rd Ave S, Seattle, WA 98104-2697 2019-09-10
1356816383 Hyojin Meadows Nurse Practitioner 5952 Blackstone Way, Nine Mile Falls, WA 99026-4900 2018-10-05
1336629518 Ebony Montezz Graham Nurse Practitioner 15812 E Indiana Ave Ste 101, Spokane Valley, WA 99216-1875 2018-08-17
1427535566 Sonia A Reid Nurse Practitioner 15812 E Indiana Ave Ste 101, Spokane Valley, WA 99216 2018-07-22
1548710551 Vicki Lynn Grimes Nurse Practitioner 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 2016-10-13
1215358841 Selina Marie Ross Nurse Practitioner 9631 N Nevada St, Ste 205, Spokane, WA 99218-1193 2013-12-28
1285063644 Katie Marie Kasunick Nurse Practitioner 16528 E Desmet Ct, Spokane Valley, WA 99216-3522 2013-11-06
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Competitor

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City EVERETT
Zip Code 98204

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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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