MITCHELL WAYNE SANDERS (NPI# 1528680162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528680162 |
| Entity Type | Individual |
| Full Name | MITCHELL WAYNE SANDERS |
| Practice Address |
2350 S Illinois Ave Apt 8b Carbondale IL 62903-5977 |
| Practice Telephone | 2172641612 |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2020-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2350 S ILLINOIS AVE APT 8B |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62903-5977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447625918 | Integrative Spine Care, LLC | Pain Medicine | 364 Lake Indian Hills Circle, Carbondale, IL 62903 | 2015-12-09 |
| 1811949910 | Devon G Barnes | Nurse Anesthetist, Certified Registered | 35 Albany Road, Suite C, Carbondale, IL 62903 | 2006-05-17 |
| 1316282130 | Centerstone of Illinois, Inc | Community/Behavioral Health | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2012-12-05 |
| 1861009128 | Ashley Pruett | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-09-30 |
| 1477167823 | Zachary Woosley | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-09-03 |
| 1215553110 | Margaret K Henry | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-06-17 |
| 1053934489 | Matthew Picchietti | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-05-20 |
| 1487287835 | Lyndsey Wideman | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-02-13 |
| 1124659024 | Matthew Leigh | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-01-29 |
| 1447890199 | Nicholas Foy | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-01-10 |
| Find all providers in zip 62903 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703461 | Madeleine Jake Nieslanik | Student in an Organized Health Care Education/Training Program | 757 County Road 101, Carbondale, CO 81623-2183 | 2020-09-01 |
| 1144843459 | Katherine E. Hersberger | Student in an Organized Health Care Education/Training Program | 710 S Illinois Ave Apt 217, Carbondale, IL 62901-2959 | 2020-05-20 |
| 1477175446 | Mimi Charter | Student in an Organized Health Care Education/Training Program | 614 S Skyline Dr, Carbondale, IL 62901-2214 | 2020-05-13 |
| 1518493782 | Peter Filip Jr. | Student in an Organized Health Care Education/Training Program | 199 Bittersweet Ln, Carbondale, IL 62903-7829 | 2017-05-10 |
| 1649712829 | Carolyn Fasnacht | Student in an Organized Health Care Education/Training Program | 2775 Skyhawk Rd, Carbondale, IL 62902-1008 | 2016-11-05 |
| 1093186637 | Mackenzie Baird | Student in an Organized Health Care Education/Training Program | 1263 Lincoln Dr, Carbondale, IL 62901-4304 | 2015-10-08 |
| 1063767671 | Ryan C Speelman | Student in an Organized Health Care Education/Training Program | 708 W Mill St Apt 301, Carbondale, IL 62901-2693 | 2012-07-19 |
| 1679749576 | Gina M. Hill | Student in an Organized Health Care Education/Training Program | 4269 Lager Ln, Carbondale, IL 62902-0970 | 2008-05-01 |
| 1104443258 | Kilmeny Clark | Student in an Organized Health Care Education/Training Program | 300 W Oak St, Carbondale, IL 62901-1400 | 2020-07-05 |
| 1548884398 | Amanda Durham | Student in an Organized Health Care Education/Training Program | 300 W Oak St, Carbondale, IL 62901-1400 | 2020-06-07 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62903 |
Please comment or provide details below to improve the information on MITCHELL WAYNE SANDERS.
| 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.