SANDRA LEE MCCORMACK (NPI# 1841276565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841276565 |
| Entity Type | Individual |
| Full Name | SANDRA LEE MCCORMACK |
| Credential | APRN |
| Practice Address |
100 Griffin Rd Suite A Portsmouth NH 03801-7113 |
| Mailing Address |
3 Great Hill Way Eliot ME 03903-1618 |
| Practice Telephone | 6034367897 |
| Practice Fax Number | 6034331985 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2013-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
02004921 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3083632 | 05 | |
| NH | 30346941 | 05 | |
| NH | RAILROAD MEDICARE | P01011563 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982151700 | Sandra Mccormack | Speech-Language Pathologist | 835 Rolins Run, Webster, NY 14580-8400 | 2016-09-09 |
| 1699731653 | Sandra Lee Mccormack | Family Medicine | 2819 Lynn Rd, Tryon, NC 28782-6681 | 2006-04-26 |
| Street Address |
100 GRIFFIN RD SUITE A |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801-7113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457358566 | Robert Hickey | Allergy & Immunology | 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 | 2005-07-05 |
| 1174050025 | Spectrum Medical Group, P.a. | Clinic/Center | 100 Griffin Rd, Portsmouth, NH 03801-7158 | 2017-05-22 |
| 1376815803 | American Health Centers, Inc. | Clinic/Center | 100 Griffin Rd, Portsmouth, NH 03801-7158 | 2012-01-30 |
| 1841479532 | Allergy Associates of Nh Pa | Allergy & Immunology | 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 | 2007-10-30 |
| 1164646071 | Atlantic Plastic Surgery Associates Pa | Clinic/Center | 100 Griffin Rd, Suite B, Portsmouth, NH 03801-7113 | 2007-04-12 |
| 1982601084 | Kevin Jon Roelofs | Allergy & Immunology | 100 Griffin Rd, Unit A, Portsmouth, NH 03801-7158 | 2005-07-05 |
| 1780681809 | Joseph Frazer IIi | Allergy & Immunology | 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 | 2005-07-05 |
| 1033116140 | Barbara Deuell | Allergy & Immunology | 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| Find all providers in zip 03801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494695 | Ashlei Parker | Nurse Practitioner | 102 Sawgrass Ln, Portsmouth, VA 23703-2284 | 2020-10-13 |
| 1669082483 | Madeline Rose Grandin | Nurse Practitioner | 238 Miller Ave Apt 2, Portsmouth, NH 03801-2092 | 2020-08-06 |
| 1619597010 | Kelsey Louise Potter | Nurse Practitioner | 1911 High St, Portsmouth, OH 45662-3254 | 2020-04-26 |
| 1144856063 | Sara Cornwell Lundberg | Nurse Practitioner | 29 Dighton Ave, Portsmouth, RI 02871-5512 | 2020-03-23 |
| 1750914800 | Loyette Wong | Nurse Practitioner | 3235 Academy Ave Ste 305, Portsmouth, VA 23703-3200 | 2020-02-18 |
| 1356818876 | Sandie Katrina Elliott | Nurse Practitioner | 1 Crawford Pkwy Ste 1a, Portsmouth, VA 23704-2609 | 2018-11-02 |
| 1023585619 | Winter Marie Mcfarland | Nurse Practitioner | 1701 High St Ste 102, Portsmouth, VA 23704-2395 | 2018-11-01 |
| 1689177503 | Quickcarenp | Nurse Practitioner | 49 Prospect Parkway, Portsmouth, VA 23702 | 2018-03-16 |
| 1649788803 | Ashley Ann Rowland | Nurse Practitioner | 1729 Kinneys Ln Ste 202, Portsmouth, OH 45662-3167 | 2018-01-22 |
| 1508378894 | Caitlin Elizabeth Mullaney | Nurse Practitioner | 330 Borthwick Ave Ste 205, Portsmouth, NH 03801-7109 | 2017-10-26 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 03801 |
Please comment or provide details below to improve the information on SANDRA LEE MCCORMACK.
| 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.