Taylor Victoria Sandberg

Primary specialty

Social WorkerTaxonomy code 104100000X

License

5243 Issued in ND

Practice address

212 S 4TH St
Suite 401
Grand Forks, ND 58201-4777

Phone

(701) 775-7725

Fax

(701) 775-7880

NPI assigned

Jan 25, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1053778837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S 4TH ST",
            "address_2": "SUITE 401",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014777",
            "telephone_number": "701-775-7725",
            "fax_number": "701-775-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S 4TH ST",
            "address_2": "SUITE 401",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014777",
            "telephone_number": "701-775-7725",
            "fax_number": "701-775-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "TAYLOR",
        "middle_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "5243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby J. Samson, L.A.C
• Eric Timothy Sand, ATC
• Shayna Avery Sand, RN, BSN
• Tyler Sand
• Jennifer Marie Sandberg
• Diane Faye Sander, MS CCC SLP
• Erin Claire Sander, M.S., SPEECH-LANGUAG
• Cathryn Sanders, PMHNP-BC
• Michael Sandry Jr., DDS
• Morgan Sandry, DDS

• Social Worker in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.