Jordyn Kayte Sandberg, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP61037403 Issued in WA

Practice address

112 S 8TH St
Tacoma, WA 98402-5284

Phone

(253) 272-0655

NPI assigned

Feb 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1063045219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 44TH AVENUE CT E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984465902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S 8TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025284",
            "telephone_number": "253-272-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "JORDYN",
        "middle_name": "KAYTE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61037403",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "828677",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "202001616NP-PP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santiago Deluna Sanchez, MHT
• Susana M Sanchez
• Bonnie Sand, M.D.
• Daniel James Sandana, BASW
• Gladys Sandana, LE, CME, COE, CPCP
• Nefthi Sandeep, M.D.
• Martha Ann Sanderlin, PH.D.
• Dixie Sanders-Ross, ACBSW
• Brenda Ann Sanders
• Brenda Lynne Wilder Sanders, MD PHD

• Nurse Practitioner in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.