SANDRA ANN BANTA WRIGHT (NPI# 1407943459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407943459 |
| Entity Type | Individual |
| Full Name | SANDRA ANN BANTA WRIGHT |
| Credential | NNP |
| Practice Address |
707 Sw Gaines St Portland OR 97239-2901 |
| Mailing Address |
7316 Se 13th Ave Portland OR 97202-5922 |
| Practice Telephone | 8004523563 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
O84059397RN | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 000552 | 05 |
| Street Address |
707 SW GAINES ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184613960 | Laurie Armsby | Pediatrics | 707 Sw Gaines St, Cdrc-p, Portland, OR 97239-2901 | 2005-10-14 |
| 1851904759 | Debra Crawford | Physical Therapist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2020-08-28 |
| 1437761574 | Lauren Nicole Beckett | Speech-Language Pathologist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2020-08-19 |
| 1720699739 | Rachel Kirsten Greene | Psychologist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2020-08-13 |
| 1356970008 | Emily Knell Spaeth | Physical Therapist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2020-04-05 |
| 1720617798 | Paula Tran | Occupational Therapist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2020-04-02 |
| 1760038111 | Natalie Alexandra Galvan | Speech-Language Pathologist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2019-08-12 |
| 1932752466 | Janvi S. Patel | Occupational Therapist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2019-07-23 |
| 1033761119 | Danielle Moyer | Psychologist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2019-07-10 |
| 1790268779 | Lily Gullion | Occupational Therapist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2018-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639541808 | Monica Elizabeth Neville | Nurse Practitioner | 183 Brackett St # 409, Portland, ME 04102-3857 | 2015-10-27 |
| 1649689944 | Janet Carson Clark | Nurse Practitioner | 9025 Sw Barnes Road, Portland, OR 97225 | 2014-08-12 |
| 1073867057 | Marion Josephine Acheson-silver | Nurse Practitioner | 69 Pitt St Apt 2, Portland, ME 04103-4825 | 2012-10-30 |
| 1972118222 | Morgan O'brien | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2020-09-14 |
| 1225519671 | Chelsea M Cieslak | Nurse Practitioner | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2018-08-23 |
| 1326564659 | Kaitlin Marie Egan | Nurse Practitioner | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2017-08-18 |
| 1770016644 | Anita Khut | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2017-04-07 |
| 1770948895 | Rachel Montanari | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2015-12-16 |
| 1376949420 | Andrea L. A. Bertram | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2014-11-17 |
| 1750722443 | Karen Vice Duncan | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2013-07-10 |
| Find all providers in PORTLAND | ||||
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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.