MR. DALE MICHAEL SANDERSON (NPI# 1659643054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659643054 |
| Entity Type | Individual |
| Full Name | MR. DALE MICHAEL SANDERSON |
| Credential | N.P. |
| Practice Address |
8300 Constantin Blvd Baton Rouge LA 70809-3489 |
| Mailing Address |
5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 |
| Practice Telephone | 2253744325 |
| Mailing Telephone | 2257655727 |
| Mailing Fax Number | 2257654278 |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2020-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
AP06807 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
TAP002754 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2190598 | 05 | |
| LA | BCBS LA | PENDING | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15790 Paul Vega Md Dr, Nicu, Hammond, LA 704031434 | 9852301682 | 9852301617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386791002 | Dale Ernest Sanderson | Respiratory Therapist, Registered | 1600 E Olive St, Seattle Mental Health, Seattle, WA 98122-2735 | 2007-01-04 |
| Street Address |
8300 CONSTANTIN BLVD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-3489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477552487 | Elizabeth Balhoff Lindsay | Pediatrics | 8300 Constantin Blvd, Baton Rouge, LA 70809-3489 | 2005-07-20 |
| 1538789185 | John Willingham | Student in an Organized Health Care Education/Training Program | 8300 Constantin Blvd, Baton Rouge, LA 70809-3489 | 2020-04-23 |
| 1972123560 | Sydney Matthews | Student in an Organized Health Care Education/Training Program | 8300 Constantin Blvd, Baton Rouge, LA 70809-3489 | 2020-04-23 |
| 1538789458 | Golnaz Sadeghiani | Student in an Organized Health Care Education/Training Program | 8300 Constantin Blvd, Baton Rouge, LA 70809-3489 | 2020-04-21 |
| 1699395558 | John Barbara Iv | Student in an Organized Health Care Education/Training Program | 8300 Constantin Blvd, Baton Rouge, LA 70809-3489 | 2020-04-21 |
| 1588284558 | Whitney O Allen | Student in an Organized Health Care Education/Training Program | 8300 Constantin Blvd, Baton Rouge, LA 70809-3489 | 2020-04-20 |
| 1467072421 | Lynnette Martiana Leffall | Student in an Organized Health Care Education/Training Program | 8300 Constantin Blvd, Baton Rouge, LA 70809-3489 | 2020-04-20 |
| 1700406774 | Amber Jarrell | Student in an Organized Health Care Education/Training Program | 8300 Constantin Blvd, Baton Rouge, LA 70809-3489 | 2020-04-20 |
| 1023647500 | Marcus Allen Stripling | Student in an Organized Health Care Education/Training Program | 8300 Constantin Blvd, Baton Rouge, LA 70809-3489 | 2020-04-06 |
| 1104455880 | Kaitlin Fay Evans | Student in an Organized Health Care Education/Training Program | 8300 Constantin Blvd, Baton Rouge, LA 70809-3489 | 2020-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619325222 | Kathrine Rester Mcgehee | Nurse Practitioner | 500 Rue De La Vie, Suite 405, Baton Rouge, LA 70817-5128 | 2016-05-25 |
| 1891156873 | Karen Nunnery | Nurse Practitioner | 8300 Constantin Blvd, Baton Rouge, LA 70809-3489 | 2016-03-17 |
| 1780944454 | Amber B Verdun | Nurse Practitioner | 500 Rue De La Vie, Suite 405, Baton Rouge, LA 70817-5128 | 2012-05-29 |
| 1023300845 | Michelle Lusco Cambias | Nurse Practitioner | 8585 Picardy Ave, Baton Rouge, LA 70809-3679 | 2011-05-12 |
| 1790077659 | Catherine Miller Marcus | Nurse Practitioner | 8585 Picardy Ave, Baton Rouge, LA 70809-3679 | 2011-05-11 |
| 1801188768 | Patricia Mcrae | Nurse Practitioner | 8585 Picardy Ave, Baton Rouge, LA 70809-3679 | 2011-05-11 |
| 1265754618 | Michele Rodrigue Thibodeaux | Nurse Practitioner | 500 Rue De La Vie, Suite 405, Baton Rouge, LA 70817-5128 | 2010-02-25 |
| 1285960369 | Misty M Stewart | Nurse Practitioner | 8300 Constantin Blvd, Baton Rouge, LA 70809-3489 | 2009-10-26 |
| 1326252321 | Amanda Lewis Searle | Nurse Practitioner | 9000 Airline Hwy, Suite 340, Baton Rouge, LA 70815-4114 | 2007-05-09 |
| 1780898791 | Cherie Bourriague Adams | Nurse Practitioner | 500 Rue De La Vie, Suite 405, Baton Rouge, LA 70817-5128 | 2007-05-09 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
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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.