DEIDRI SANDERSON (NPI# 1578078341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578078341 |
Entity Type | Individual |
Full Name | DEIDRI SANDERSON |
Practice Address |
1110 7th Ave Cumberland WI 54829-9138 |
Mailing Address |
Po Box 1602 Reidsville NC 27323-1602 |
Practice Telephone | 7158222741 |
Mailing Telephone | 3365873631 |
Enumeration Date | 2017-12-02 |
Last Update Date | 2017-12-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
J6P7L8D8 | NC | Technologists, Technicians & Other Technical Service Providers |
Street Address |
1110 7TH AVE |
City | CUMBERLAND |
State | WI |
Zip Code | 54829-9138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255382933 | Cumberland Memorial Hospital | General Acute Care Hospital | 1110 7th Ave, Cumberland, WI 54829-9133 | 2006-05-15 |
1750990347 | Jennifer Young | Registered Nurse | 1110 7th Ave, Cumberland, WI 54829-9138 | 2020-07-29 |
1700494804 | Jane Nickell | Registered Nurse | 1110 7th Ave, Cumberland, WI 54829-9138 | 2020-07-15 |
1023636461 | Cassandra Laurine Klatt | Health Educator | 1110 7th Ave, Cumberland, WI 54829-9138 | 2020-07-13 |
1619502275 | Nicholas Pedersen | Physician Assistant | 1110 7th Ave, Cumberland, WI 54829-9138 | 2020-03-04 |
1346880077 | Ashley Mikaila Quaderer | Occupational Therapy Assistant | 1110 7th Ave, Cumberland, WI 54829-9138 | 2020-01-10 |
1942849484 | Jay Mitchell Jevne | Registered Nurse | 1110 7th Ave, Cumberland, WI 54829-9138 | 2020-01-02 |
1134778293 | Amanda Meleen | Speech-Language Pathologist | 1110 7th Ave, Cumberland, WI 54829-9138 | 2019-09-10 |
1942726534 | Cumberland Memorial Hospital, Inc | Non-Pharmacy Dispensing Site | 1110 7th Ave, Cumberland, WI 54829-9138 | 2017-08-16 |
1235651522 | Craig Alexander Jennings | Family Medicine | 1110 7th Ave, Cumberland, WI 54829-9138 | 2017-07-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508100744 | Michelle Marie Miller | Licensed Practical Nurse | 2503 12th St., Cumberland, WI 54829 | 2012-11-10 |
1336492230 | Harriet Ailene Osumi | Occupational Therapist | 1220 Jeffery Blvd, Cumberland, WI 54829 | 2012-10-17 |
1497082663 | Optima Natural Health & Wellness, LLC | Chiropractor | 1320 2nd Ave, Cumberland, WI 54829 | 2009-11-10 |
1295982593 | Toftness Chiropractic Clinic LLC | Chiropractor | 1425 2nd Ave., Cumberland, WI 54829 | 2008-08-19 |
1114143740 | Heather Colleen Gaylord | Occupational Therapist | 1110 7th Street, Cumberland, WI 54829 | 2007-04-18 |
1598857518 | Jodi Lynne Griffith | Chiropractor | 1425 2nd Ave, Cumberland, WI 54829 | 2006-09-28 |
1750494449 | Lee R Jacobson Od Sc | Optometrist | 1357 Second Ave, Cumberland, WI 54829 | 2006-08-16 |
1083917926 | Blue Hills Chiropractic LLC | Chiropractor | 1320 2nd Avenue, Cumberland, WI 54829 | 2010-12-15 |
1538389846 | Lee R Jacobson Od Sc | Eyewear Supplier (Equipment, not the service) | 1357 Second Ave, Cumberland, WI 54829 | 2007-04-27 |
1134211154 | Thomas Lee Toftness | Chiropractor | 1425 2nd Ave, Cumberland, WI 54829 | 2006-09-28 |
Find all providers in zip 54829 |
Taxonomy Code | 246RP1900X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Pathology |
Specialization | Phlebotomy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578898631 | Upmc Western Maryland Corporation | Technician, Pathology | 12400 Willowbrook Rd, Cumberland, MD 21502-2559 | 2009-10-07 |
1790042950 | Upmc Western Maryland Corporation | Technician, Pathology | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2012-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437761046 | Brian Lasher | Technician, Pathology | 1522 Hunter Hill Rd, Hudson, WI 54016-5833 | 2020-08-17 |
City | CUMBERLAND |
Zip Code | 54829 |
Please comment or provide details below to improve the information on DEIDRI SANDERSON.
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.