DR. SANDRA K WIELAND (NPI# 1497149546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497149546 |
Entity Type | Individual |
Full Name | DR. SANDRA K WIELAND |
Credential | PHD, ARNP |
Practice Address |
945 Hildebrand Ln Ne Ste 100 Bainbridge Island WA 98110 |
Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
Practice Telephone | 2069912121 |
Practice Fax Number | 2069912151 |
Mailing Telephone | 2063204476 |
Mailing Fax Number | 2065687043 |
Enumeration Date | 2015-03-26 |
Last Update Date | 2020-10-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | RN00123774 | WA | Nursing Service Providers |
N | 207Q00000X | Family Medicine | AP30004398 | WA | Allopathic & Osteopathic Physicians |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30004398 | WA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1497149546 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164622254 | Sandra Kelley Wieland | Nurse Practitioner | 813 Chesapeake Dr Ste 1, Cambridge, MD 21613-9405 | 2007-07-18 |
Street Address |
945 HILDEBRAND LN NE STE 100 |
City | BAINBRIDGE ISLAND |
State | WA |
Zip Code | 98110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639136922 | Bryan C. Dryer | Pediatrics | 945 Hildebrand Ln Ne Ste 100, Bainbridge Island, WA 98110 | 2006-04-28 |
1437673910 | Laboratory Corporation of America | Clinical Medical Laboratory | 945 Hildebrand Ln Ne Ste 100, Bainbridge Island, WA 98110-2887 | 2017-07-27 |
1184863193 | Charles Anthony Nelson | Family Medicine | 945 Hildebrand Ln Ne Ste 100, Bainbridge Island, WA 98110-2887 | 2009-02-13 |
1134143209 | Mara Saulitis | Family Medicine | 945 Hildebrand Ln Ne Ste 100, Bainbridge Island, WA 98110-2887 | 2006-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427667021 | William Reddy | Counselor | 8380 Ne Beck Road, Bainbridge Island, WA 98110 | 2020-07-29 |
1144875352 | Kaitlyn Barr | Physical Therapist | Kitsap Physical Therapy, 945 Hildebrand Ln Ste 220, Bainbridge Island, WA 98110 | 2019-08-05 |
1326601055 | Chloe Samantha Simon | Specialist/Technologist | 9650 Green Spot Pl., Req, Bainbridge Island, WA 98110 | 2019-04-18 |
1043721228 | Laura West Baker | Counselor | 11073 Madison Ave. N.e., Bainbridge Island, WA 98110 | 2017-10-16 |
1609305978 | Autism Coaching, Consulting, and Training, LLC | Early Intervention Provider Agency | 676 Lovell Ave Nw, Bainbridge Island, WA 98110 | 2017-06-08 |
1639423692 | Alice Hunting | Massage Therapist | 11700 Ne Meadowmeer Circle, Bainbridge Island, WA 98110 | 2012-10-30 |
1578813929 | Kitsap County Fire District No 2 | Ambulance | 8895 Madison Ave Ne, Bainbridge Island, WA 98110 | 2012-09-13 |
1841582707 | David Warren Sugarman | Psychologist | 4080 Crystal Springs Dr Ne, Bainbridge Island, WA 98110 | 2011-05-11 |
1346570371 | Trina Ann Peterson | Registered Nurse | 2213 N.e. Victorian Lane, C, Bainbridge Island, WA 98110 | 2010-01-14 |
1902135437 | Sally Karen Vest | Occupational Therapy Assistant | 10861 Manitou Park Blvd. Ne, Bainbridge Island, WA 98110 | 2009-12-11 |
Find all providers in zip 98110 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164572590 | Linda Marie Pedersen | Nurse Practitioner | 600 Winslow Way E Ste 114, Bainbridge Island, WA 98110-3252 | 2007-01-10 |
1578068094 | Jonathan Ronald Medina-beckwith | Nurse Practitioner | 1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110-5118 | 2018-03-27 |
1396252326 | Jennifer Joy Anthonia Wishinski | Nurse Practitioner | 1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110 | 2017-12-28 |
1114980828 | Karen Louise Huisinga | Nurse Practitioner | 1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110 | 2006-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740889369 | Abigail E Mercure | Nurse Practitioner | 7618 Ne Champagne Point Pl, Kirkland, WA 98034-3448 | 2020-10-24 |
1043819907 | Matthew Sean Krabbendam | Nurse Practitioner | 7315 212th St Sw Ste 207, Edmonds, WA 98026-7610 | 2020-10-21 |
1700485919 | Yanique Ricie Nana Yakam Azah | Nurse Practitioner | 22829 Se 239th Ct, Maple Valley, WA 98038-5052 | 2020-10-19 |
1164029484 | Chelsea Lauren Bresnahan | Nurse Practitioner | 7928 S Parway Ln, Cheney, WA 99004-8619 | 2020-10-08 |
1023615549 | Brian D Ottesen | Nurse Practitioner | 2315 Crestwood Pl Nw, Olympia, WA 98502-4095 | 2020-10-07 |
1881291003 | Allison Walzer | Nurse Practitioner | 526 Yale Ave N Apt 402, Seattle, WA 98109-5544 | 2020-10-01 |
1740896927 | Maia Zink | Nurse Practitioner | 10837 E Riverside Dr Apt C, Bothell, WA 98011-6123 | 2020-09-22 |
1760098339 | Yunyun Lu | Nurse Practitioner | 4922 51st Avenue Ct W, University Place, WA 98467-4828 | 2020-09-19 |
1255944278 | Alexis Leanne Snyder | Nurse Practitioner | 717 S 51st St, Tacoma, WA 98408-5710 | 2020-08-28 |
1841800521 | Lauren Levesque | Nurse Practitioner | 2744 Ne 54th St Unit B, Seattle, WA 98105-3146 | 2020-08-06 |
Find all providers with the same taxonomy |
City | BAINBRIDGE ISLAND |
Zip Code | 98110 |
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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.