SHANA SANDIFER (NPI# 1760876122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760876122 |
| Entity Type | Individual |
| Full Name | SHANA SANDIFER |
| Credential | APRN |
| Practice Address |
803 Meyers Baker Rd Suite 200 London KY 40741-3039 |
| Practice Telephone | 6068783240 |
| Practice Fax Number | 6068783245 |
| Mailing Telephone | 6068783240 |
| Mailing Fax Number | 6068783245 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2018-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 3009288 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3009288 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 94 Dogpatch Trading Ctr Ste 2, London, KY 407418292 | 6068771352 | 6068771356 |
| Street Address |
803 MEYERS BAKER RD SUITE 200 |
| City | LONDON |
| State | KY |
| Zip Code | 40741-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467437293 | Melissa Llenay Zook | Family Medicine | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2005-12-14 |
| 1184234775 | Christopher Lee White | Physician Assistant | 803 Meyers Baker Rd, London, KY 40741-3039 | 2020-08-07 |
| 1194277129 | Kacey Bolton | Nurse Practitioner | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2016-10-25 |
| 1235596479 | Bethany D Ledford | Nurse Practitioner | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2016-01-19 |
| 1285993204 | Laura B. Walters | Physician Assistant | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2012-05-11 |
| 1306137336 | Bluegrass Primary Care & Pediatrics, Pllc | Family Medicine | 803 Meyers Baker Rd, Suite 150, London, KY 40741-3039 | 2011-04-25 |
| 1457660102 | Michelle Collins Boothe | Physician Assistant | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2010-09-29 |
| 1922241512 | Aishawarya Sarkar | Obstetrics & Gynecology | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2009-04-12 |
| 1164676144 | Dorothy Suzanne Mcgehee | Obstetrics & Gynecology | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2008-11-04 |
| 1285897801 | Krista Devoe Preston | Obstetrics & Gynecology | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2008-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1558849620 | Pinnacle Treatment Centers Ky-1, LLC | Substance Abuse Rehabilitation Facility | 312 Carrera Drive, London, KY 40741 | 2018-08-01 |
| 1710463435 | Pinnacle Treatment Centers Ky-i, LLC | Substance Abuse Rehabilitation Facility | 300 Carrera Drive, London, KY 40741 | 2018-07-16 |
| 1720591076 | Hillary Clark | Nurse Practitioner | 192 London Shopping Ctr Ste 2, London, KY 40741 | 2017-11-08 |
| 1760901979 | Ariel Siler | Counselor | 454 N. Mcwhorter St., Suite 1, London, KY 40741 | 2017-09-19 |
| 1598287161 | Young Smiles,llc | Clinic/Center | 324 Holly Lane, London, KY 40741 | 2017-07-14 |
| 1952727505 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 2645 N Laurel Rd Ste B, London, KY 40741 | 2014-03-06 |
| Find all providers in zip 40741 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615713 | Vicky S Blanton | Nurse Practitioner | 6990 Johnson Rd, London, KY 40741-9514 | 2020-10-06 |
| 1255966172 | Stephen George Sigrimis | Nurse Practitioner | 74 Emerald Dr, London, KY 40744-8944 | 2020-03-11 |
| 1154952844 | Makayla Jean Green | Nurse Practitioner | 1649 Highway 192 W, London, KY 40741-1674 | 2020-01-31 |
| 1902446941 | Esther Mwasumbi | Nurse Practitioner | 300 Crown Point Est, London, KY 40741-7531 | 2020-01-07 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1669021523 | Carla Deanne Gilbert | Nurse Practitioner | 100 London Mountain View Dr Ste B, London, KY 40741-6668 | 2019-09-04 |
| 1306302096 | Amber R Weeks | Nurse Practitioner | 133 Henry Clay Ln, London, KY 40744-8150 | 2019-02-18 |
| 1407325897 | Sherri Curtiss | Nurse Practitioner | 36 N Madison Rd, London, OH 43140-1061 | 2018-11-15 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1922592914 | Andrea M Goedel | Nurse Practitioner | 371 Lafayette St, London, OH 43140-9326 | 2018-06-21 |
| Find all providers in LONDON | ||||
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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.