MRS. SARAH NICOLE SANDSTROM (NPI# 1497011613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497011613 |
Entity Type | Individual |
Full Name | MRS. SARAH NICOLE SANDSTROM |
Credential | MA, CAC-II |
Practice Address |
560 S Bond Dr Pueblo CO 81007-1697 |
Practice Telephone | 7195658189 |
Mailing Telephone | 7195658189 |
Enumeration Date | 2012-04-02 |
Last Update Date | 2012-04-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
7594 | CO | Behavioral Health & Social Service Providers |
Street Address |
560 S BOND DR |
City | PUEBLO |
State | CO |
Zip Code | 81007-1697 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811406630 | Southern Colorado Hearing Associates, Inc. | Audiologist | 904 East Hailey Lane, Pueblo West, CO 81007 | 2017-09-25 |
1396274361 | Laura Selig | Physical Therapist | 1168 N Thorpe Dr, Pueblo West, CO 81007 | 2017-06-05 |
1710351127 | Benjamin Gaines | Speech-Language Pathologist | 1056 W Broken Bow Dr, Pueblo West, CO 81007 | 2015-11-23 |
1467861351 | Zoe Grillos | Massage Therapist | 876 S Knox Dr, Pueblo West, CO 81007 | 2014-08-05 |
1033454186 | Melissa Lynn Hollis | Occupational Therapy Assistant | 1333 N Blue Lake Ln, Pueblo West, CO 81007 | 2012-11-30 |
1336491125 | Patricia Deana Cuadrado | General Practice | 44 E. Spaulding Ave., Pueblo West, CO 81007 | 2012-10-04 |
1194088021 | Aaron J Wilson | Chiropractor | 50 S Dunlap Dr, Pueblo West, CO 81007 | 2012-06-15 |
1780811893 | Rhonda Renee Grigg | Pediatrics | 332 S Orchard Springs Dr. 150, Pueblo, CO 81007 | 2009-06-16 |
1144482191 | Christopher Nicholas Liontas | Dentist | 360 S. Orchard Springs Dr, Pueblo West, CO 81007 | 2008-07-01 |
1780855718 | Justin Dean Youngren | Chiropractor | 50 S Dunlap Drive, Pueblo West, CO 81007 | 2008-03-18 |
Find all providers in zip 81007 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083220099 | Samantha Pino | Counselor | 41 Montebello Rd Ste 124, Pueblo, CO 81001-1366 | 2020-09-16 |
1881182830 | Manuel Roman Martinez I | Counselor | 720 N Main St Ste 240, Pueblo, CO 81003-3046 | 2018-04-25 |
1952820292 | Victoria Lynn Wallace | Counselor | 79 Bonnymede Rd, Apt 104, Pueblo, CO 81001-8100 | 2017-09-19 |
1548703937 | Bradley James Rusovick | Counselor | 56 Duke St, 200 West 'b' Street, Suite 226, Pueblo, CO 81005-1604 | 2016-12-02 |
1225393267 | Michael Todd Kragt | Counselor | 1515 Fortino Blvd, Suite 120, Pueblo, CO 81008-1664 | 2012-07-05 |
1356603229 | Tracy D Wilson | Counselor | 41 Montebello Rd Ste 104, Pueblo, CO 81001-1366 | 2012-06-15 |
1093088890 | Oasis Counseling, A Pllc | Counselor | 200 W 29th St, Pueblo, CO 81008-1004 | 2012-02-10 |
1083918247 | Leo Paul Arguello | Counselor | 1711 East Evans Avenue, Ctp, M-irt, Pueblo, CO 81004 | 2011-01-03 |
1689831737 | Matthew Anthony Capranelli | Counselor | 719 W 29th St, Pueblo, CO 81008-1183 | 2008-05-16 |
1407051204 | Eugene Espinosa | Counselor | Crossroads Turning Points, Inc, 3470 Baltimore Ave, Pueblo, CO 81008 | 2007-06-20 |
Find all providers in PUEBLO |
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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.