Active NPI
Alanna Lauren Sandack, D.O.
- General Practice Physician
- Bremerton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- OP00002318
- Practice address
- 1520 NE Riddell Rd Ste 110
Bremerton, WA 98310-3005 - Phone
- (360) 228-7246
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | OP00002318 | WA | |
| General Practice Physician | 208D00000X | 268740 | NY | |
| General Practice Physician | 208D00000X | 02003485B | IN | |
| General Practice Physician | 208D00000X | 02003485A | IN | |
| General Practice Physician | 208D00000X | OP00002318 | WA | Primary |
Addresses
Primary practice location
1520 NE Riddell Rd Ste 110
Bremerton, WA 98310-3005
Mailing address
1520 NE Riddell Rd Ste 110
Bremerton, WA 98310-3005
Phone (360) 228-7246
Other practice location 1
505 Washington Ave S
Kent, WA 98032-5709
Phone (253) 833-7444
Other practice location 2
1701 18th Ave S
Seattle, WA 98144-4317
Phone (253) 833-7444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
505 Washington Ave S
Kent, WA 98032-5709
Phone (253) 833-7444
Hospital & facility affiliations
- St Michael Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02003485A | IN | MD | General Practice Physician |
| 02003485B | IN | MD | General Practice Physician |
| 268740 | NY | MD | General Practice Physician |
| OP00002318 | WA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Cities Counseling and Consultation | Current | Accepting new patients | |
| Baart Behavioral Health Services, Inc. | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | General Practice | Current | Accepting new patients |
| F&M Healthcare, LLC | Current | Accepting new patients | |
| Baart Behavioral Health Services, Inc. | Past | Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
2704 I St NE
Auburn, WA 98002
Phone (253) 876-3415
505 Washington Ave S
Kent, WA 98032
Phone (253) 652-7294
325 W Gowe St
Kent, WA 98032
711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303
1701 18th Ave S
Seattle, WA 98144
Phone (206) 731-7210
6824 19th St W
#256
University Place, WA 98466
Phone (253) 777-1423
Networks
- WA PPO C-SNP
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Kent, WA
- NPI 1972668853
-
- Internal Medicine Physician
- University Place, WA
- NPI 1861145120
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Port Angeles, WA
- NPI 1659919561
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Bennington, VT
- NPI 1740086263
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1013127323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 NE RIDDELL RD STE 110",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103005",
"telephone_number": "360-228-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 NE RIDDELL RD STE 110",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103005",
"telephone_number": "360-228-7246"
}
],
"practiceLocations": [
{
"address_1": "505 Washington Ave S",
"address_purpose": "LOCATION",
"city": "Kent",
"state": "WA",
"postal_code": "980325709",
"country_code": "US",
"telephone_number": "253-833-7444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1701 18th Ave S",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981444317",
"country_code": "US",
"telephone_number": "253-833-7444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDACK",
"first_name": "ALANNA",
"middle_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "OP00002318",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "268740",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "02003485B",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "02003485A",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WA",
"license": "OP00002318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.