MS. SANDRA M JANSEN (NPI# 1740236843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740236843 |
| Entity Type | Individual |
| Full Name | MS. SANDRA M JANSEN |
| Credential | PA-C |
| Practice Address |
630 N Alvernon Way Ste 371 Tucson AZ 85711-1843 |
| Mailing Address |
2202 N Forbes Blvd Tucson AZ 85745-1412 |
| Practice Telephone | 5203193956 |
| Practice Fax Number | 5203193913 |
| Mailing Telephone | 5208727265 |
| Mailing Fax Number | 5208727929 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1476 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE PTAN | 115903 | 01 |
| AZ | 196601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881188621 | Sandra Darlene Jansen | Registered Nurse | 5127 Walnut Park Dr, Santa Barbara, CA 93111-1738 | 2018-06-15 |
| 1851450308 | Sandra Bisio Jansen | Social Worker | 95 Moose Hill Pkwy, Sharon, MA 02067-1730 | 2006-12-08 |
| Street Address |
630 N ALVERNON WAY STE 371 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85711-1843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730189655 | James M Gillard | Emergency Medicine | 630 N Alvernon Way, Suite 250, Tucson, AZ 85711-1843 | 2005-07-21 |
| 1720568223 | Mary Elizabeth Hunter | Counselor | 630 N Alvernon Way, Tucson, AZ 85711-1843 | 2018-08-15 |
| 1770070732 | Andrew Ryan Dorsett | Registered Nurse | 630 N Alvernon Way, Tucson, AZ 85711-1843 | 2018-04-16 |
| 1417463316 | Wade Arden Vero Gage | Social Worker | 630 N Alvernon Way, Tucson, AZ 85711-1843 | 2017-12-14 |
| 1598201295 | Jessica Ganz | Nurse Practitioner | 630 N Alvernon Way, Suite 250, Tucson, AZ 85711-1843 | 2017-01-18 |
| 1396105797 | Smsj Tucson Holdings, LLC | Radiology | 630 N Alvernon Way, Suite 150, Tucson, AZ 85711-1843 | 2016-02-26 |
| 1336556596 | Ronald A. Kline, Md., PC | Surgery | 630 N Alvernon Way, Suite 180, Tucson, AZ 85711-1843 | 2014-07-18 |
| 1174862007 | Codac Health, Recovery & Wellness, Inc. | Clinic/Center | 630 N Alvernon Way, Ste 161, Tucson, AZ 85711-1843 | 2013-02-13 |
| 1639416084 | Genoa Healthcare, LLC | Pharmacy | 630 N Alvernon Way, 1st Fl, Suite 161, Tucson, AZ 85711-1843 | 2013-01-04 |
| 1023308962 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 630 N Alvernon Way, Tucson, AZ 85711-1843 | 2011-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
| 1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
| 1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
| 1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
| 1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
| 1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
| 1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
| 1124561477 | Regina Maendler | Behavioral Analyst | 630 N. Craycroft Rd, Tucson, AZ 85711 | 2016-11-18 |
| 1881140184 | Elleda Linsmeyer | Speech-Language Pathologist | St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 | 2016-08-28 |
| 1962856260 | Csl-tucson, LLC | Assisted Living Facility | 1020 N. Woodland Avenue, Tucson, AZ 85711 | 2016-04-22 |
| Find all providers in zip 85711 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966640 | Stephanie Alonso | Physician Assistant | 7725 N Sun Flair Dr, Tucson, AZ 85741-1582 | 2020-09-14 |
| 1902416084 | Nooria Sufi | Physician Assistant | 3849 E Calle De Soto, Tucson, AZ 85716-5125 | 2020-08-04 |
| 1578189650 | Emily Alaine Maru | Physician Assistant | 9641 E Waters Edge Pl, Tucson, AZ 85749-7901 | 2020-06-24 |
| 1144863481 | Daniel E Valdez | Physician Assistant | 7360 S Frost Dr, Tucson, AZ 85747-5641 | 2019-10-18 |
| 1831663731 | Chenin Poels | Physician Assistant | 1652 E Saint Ferdinand Pl, Tucson, AZ 85713-5185 | 2019-01-14 |
| 1750864310 | Stephen Skiano | Physician Assistant | 3615 N Prince Village Pl Ste 121, Tucson, AZ 85719-2034 | 2018-09-10 |
| 1215415112 | Chelsea Marie Baker | Physician Assistant | 2495 N Desert Links Dr Apt 11, Tucson, AZ 85715-3727 | 2018-08-02 |
| 1891209268 | Samantha Martinez | Physician Assistant | 7089 N Thornydale Rd, Tucson, AZ 85741-2728 | 2017-11-21 |
| 1851819692 | Clayton Harrison Andrews | Physician Assistant | 1501 N Campbell Ave Rm 4325, Tucson, AZ 85724-0001 | 2017-08-31 |
| 1831613579 | Ashley Shaw | Physician Assistant | 5856 N Placita Esplendora, Tucson, AZ 85718 | 2017-08-02 |
| Find all providers in TUCSON | ||||
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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.