SANDRA G JENSEN (NPI# 1710962675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710962675 |
| Entity Type | Individual |
| Full Name | SANDRA G JENSEN |
| Credential | NP |
| Practice Address |
15675 Northline Rd Southgate MI 48195-2334 |
| Mailing Address |
1640 Fort St Suite D Attn Denise Trenton MI 48183-2040 |
| Practice Telephone | 7342823600 |
| Mailing Telephone | 7343913057 |
| Mailing Fax Number | 7343913052 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2017-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704283998 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP NPI HENRY FORD WYANDOTTE | 1144634403 | 01 | |
| MI | BLUE CROSS | 0H28865 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265600217 | Sandra Kay Jensen | Occupational Therapist | 11038 N Pinto Dr, Fountain Hills, AZ 85268-5329 | 2008-02-12 |
| 1003037862 | Sandra Raymond Jensen | Marriage & Family Therapist | 373 North 780 East, Lindon, UT 84042 | 2007-05-01 |
| 1417174780 | Sandra Jensen | Psychologist | 5820 Main St Ste 505a, Williamsville, NY 14221-5734 | 2007-04-19 |
| 1790811859 | Sandra Jean Jensen | Registered Nurse | 18495 Gate Post Rd, Brookfield, WI 53045-6608 | 2007-02-25 |
| 1003975467 | Sandra Jensen | Psychologist | 4851 Cliff Dr, Rapid City, SD 57702 | 2006-12-08 |
| 1154360220 | Sandra Lee Jensen | Chiropractor | 13714 Gamma Rd, Suite 125, Dallas, TX 75244-4485 | 2006-06-05 |
| Street Address |
15675 NORTHLINE RD |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-2334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972592582 | Munther K Alaiwat | Obstetrics & Gynecology | 15675 Northline Rd, Southgate, MI 48195-2334 | 2005-10-17 |
| 1740555002 | Mallory Christine Nagarah | Obstetrics & Gynecology | 15675 Northline Rd, Southgate, MI 48195-2334 | 2012-03-19 |
| 1518261957 | Wyandotte Medical Practice | Obstetrics & Gynecology | 15675 Northline Rd, Southgate, MI 48195-2334 | 2010-12-28 |
| 1861688780 | Munther Alaiwat, M.d., P.C. | Obstetrics & Gynecology | 15675 Northline Rd, Southgate, MI 48195-2334 | 2007-09-25 |
| 1992903116 | Christa Norlander | Obstetrics & Gynecology | 15675 Northline Rd, Southgate, MI 48195-2334 | 2007-07-10 |
| 1679629604 | Jeanne Marie Gray | Nurse Practitioner | 15675 Northline Rd, Southgate, MI 48195-2334 | 2007-01-25 |
| 1245218528 | Mary Catherine Delucia | Nurse Practitioner | 15675 Northline Rd, Southgate, MI 48195-2334 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| 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 |
|---|---|---|---|---|
| 1053715516 | Joan O Bovard | Nurse Practitioner | 525 Alexandria Pike, Suite 300, Southgate, KY 41071 | 2014-10-13 |
| 1922327717 | Mary Louise Hasskamp-howe | Nurse Practitioner | 14752 Northline Rd, Southgate, MI 48195-2698 | 2010-05-19 |
| 1033432232 | Oakwood Ambulatory, LLC | Nurse Practitioner | 15777 Northline Rd, Southgate, MI 48195-2385 | 2010-03-03 |
| 1982809828 | Brian John Crowley | Nurse Practitioner | 525 Alexandria Pike, Southgate, KY 41071-3290 | 2007-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154599 | Kelly Phuong Doan | Nurse Practitioner | 27327 23 Mile Rd, Chesterfield, MI 48051-2045 | 2020-11-04 |
| 1275133217 | Maureen Mae Lewis | Nurse Practitioner | 2782 N Coleman Rd, Coleman, MI 48618-9721 | 2020-10-29 |
| 1073113460 | Taylor L Pichette | Nurse Practitioner | 758 Lucille Dr, Wolverine Lake, MI 48390-2327 | 2020-10-27 |
| 1295333938 | Amanda Covell | Nurse Practitioner | 624 Cherry St Se Apt 5, Grand Rapids, MI 49503-4778 | 2020-10-14 |
| 1689271314 | Nicole Conklin | Nurse Practitioner | 524 Doyle Rd, Laingsburg, MI 48848-9611 | 2020-10-06 |
| 1447857677 | Shelby Lynn Waibel | Nurse Practitioner | 560 W Mitchell St Ste 210, Petoskey, MI 49770-2276 | 2020-10-01 |
| 1497361638 | Amira Aljamal | Nurse Practitioner | 4601 Shenandoah Ave, Allen Park, MI 48101-3131 | 2020-09-22 |
| 1659987014 | Sean Thomas Kane | Nurse Practitioner | 13734 Parallel Ave, Alpena, MI 49707-7987 | 2020-09-21 |
| 1235743592 | Mojica, LLC | Nurse Practitioner | 4163 W Pointe Dr, Waterford, MI 48329-4648 | 2020-09-03 |
| 1942812094 | Meagan James | Nurse Practitioner | 407 E Huron River Dr, Belleville, MI 48111-2763 | 2020-08-20 |
| 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.