DEIDRI SANDERSON


Address: 1110 7th Ave, Cumberland, WI 54829-9138
Phone: 7158222741

DEIDRI SANDERSON (NPI# 1578078341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246RP1900X Technician, Pathology
Specialization: Phlebotomy
J6P7L8D8 NC Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 1110 7TH AVE
City CUMBERLAND
State WI
Zip Code 54829-9138

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 246RP1900X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Pathology
Specialization Phlebotomy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437761046 Brian Lasher Technician, Pathology 1522 Hunter Hill Rd, Hudson, WI 54016-5833 2020-08-17

Competitor

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City CUMBERLAND
Zip Code 54829

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Dataset Information

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.

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