SANDRA JORGENSEN (NPI# 1366468811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366468811 |
| Entity Type | Individual |
| Full Name | SANDRA JORGENSEN |
| Credential | CNP |
| Practice Address |
16313 Lake Ave Lakewood OH 44107-1250 |
| Practice Telephone | 2165299727 |
| Mailing Telephone | 2165299727 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2012-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
NP01060 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000541027 | 01 |
| OH | BUCKEYE | 743709 | 01 |
| OH | WELLCARE | 422452 | 01 |
| OH | RAILROAD MEDICARE | P00445902 | 01 |
| OH | 2160610 | 05 | |
| OH | AETNA | 7563433 | 01 |
| OH | UNISON | 000000226064 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972592020 | Sandra Jorgensen | Psychologist | 25411 Cabot Rd, Suite 107, Laguna Hills, CA 92653-5520 | 2005-10-20 |
| 1366646994 | Sandra Min Lit Jorgensen | Dietitian, Registered | 1850 S Azusa Ave, Suite 112, Hacienda Heights, CA 91745-6813 | 2007-06-14 |
| Street Address |
16313 LAKE AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205190444 | Np Eldercare | Nurse Practitioner | 16313 Lake Ave, Lakewood, OH 44107-1250 | 2012-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245767466 | Karen Lee Keller | Nurse Practitioner | 5903 Hayter Ave, Lakewood, CA 90712-1047 | 2017-05-18 |
| 1407390735 | Annette Eric D'souza | Nurse Practitioner | 500 River Avenue Unit 140, Lakewood, NJ 08701 | 2016-12-06 |
| 1194177188 | Marilyn Rosca | Nurse Practitioner | 12234 Renville St, Lakewood, CA 90715-1605 | 2016-07-01 |
| 1073903282 | Housecalls of The Falls | Nurse Practitioner | 15526 Hilliard Rd, Lakewood, OH 44107-3813 | 2015-01-26 |
| 1528081957 | Lindsey Ekland | Nurse Practitioner | 7424 Bridgeport Way W Ste 301, Lakewood, WA 98499-8135 | 2006-07-26 |
| 1548879844 | Rowena Houston | Nurse Practitioner | 3300 E South St Ste 206, Lakewood, CA 90805-4590 | 2020-07-23 |
| 1841822343 | Michelle Lynn Juckett | Nurse Practitioner | 685 River Ave, Lakewood, NJ 08701-5288 | 2020-02-12 |
| 1144881384 | Sherri Whitaker | Nurse Practitioner | 15800 Detroit Ave, Lakewood, OH 44107-3748 | 2019-06-27 |
| 1871081737 | Fatimah Aisha Johnson | Nurse Practitioner | 1526 Cole Blvd Ste 300, Lakewood, CO 80401-3410 | 2018-04-26 |
| 1417498213 | Laura Miller | Nurse Practitioner | 1526 Cole Blvd Ste 300, Lakewood, CO 80401-3410 | 2017-03-13 |
| Find all providers in LAKEWOOD | ||||
Please comment or provide details below to improve the information on SANDRA JORGENSEN.
| 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.