Sandra C. Phoenix, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R020333 Issued in ME

Practice address

50 E Main St
Harrington, ME 04643-3043

Phone

(207) 483-4502

Fax

(207) 483-2525

NPI assigned

Jun 12, 2006

Last updated

Feb 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1003858317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E MAIN ST",
            "city": "HARRINGTON",
            "state": "ME",
            "postal_code": "046433043",
            "telephone_number": "207-483-4502",
            "fax_number": "207-483-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E MAIN ST",
            "city": "HARRINGTON",
            "state": "ME",
            "postal_code": "046433043",
            "telephone_number": "207-483-4502",
            "fax_number": "207-483-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHOENIX",
        "first_name": "SANDRA",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "R020333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285720099",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102380204",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102380303",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristzina L Morin, DO
• Eric Morris, PA-C
• Eliza Murphy, RDH
• Linda Olday, CCC-SLP
• Rebecca Hough Paine, PA
• Valerie Denison Porcello, PMHNP
• Donna-Jane Marie Pottle, CNA/PSS/CRMA
• Dedra Lynn Ragot, LCSW
• Kandi Robertson, LMSW
• Curtis Russet, NP

• Family Nurse Practitioner in Harrington, ME
• Providers in Harrington, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.