Sandra Marie Flanagan, RN, BSN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

079033083RN Issued in OR

Practice address

92023 Purkerson Rd
Junction City, OR 97448-9426

Phone

(503) 294-1006

Fax

(503) 294-1006

NPI assigned

Jan 21, 2009

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

• Miss Sandra Marie Elardo Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 21, 2009.

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1043458573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19765",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972800765",
            "telephone_number": "503-294-1006",
            "fax_number": "503-294-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92023 PURKERSON RD",
            "city": "JUNCTION CITY",
            "state": "OR",
            "postal_code": "974489426",
            "telephone_number": "503-294-1006",
            "fax_number": "503-294-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "079033083RN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EIN260813697",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "ELARDO",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "RN,BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeremiah M. Famor
• FC Ranger Ops Junction City (Or), LLC
• Janet Marcella Felkins
• Carissmarie Lillianlynn Fisher
• Jacob Michael Flabetich
• Chad Fleeman
• David Kyle Fodrea
• Gail Crystal Fore
• Christian Forrester
• Haley Forte

• All providers in Junction City, OR
• Community Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.