Jacqueline Marie Sandole

Primary specialty

Certified Respiratory TherapistTaxonomy code 227800000X

License

008558 Issued in AZ

Practice address

7311 E Southern Ave Apt 3032
Mesa, AZ 85209-2720

Phone

(160) 257-5774

NPI assigned

May 19, 2020

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 2

Electronic endpoints 1

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": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1073136537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 E SOUTHERN AVE APT 3032",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092720",
            "telephone_number": "160-257-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 E SOUTHERN AVE APT 3032",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092720",
            "telephone_number": "160-257-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOLE",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "AZ",
            "license": "008558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPIRATORY",
            "identifier": "008850",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPIRATORY",
            "identifier": "008850",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "666",
            "affiliation": "N",
            "address_1": "7311 E Southern Ave Apt 3032",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852092720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Simran Sandhu, NMD
• Ivynnell Sandifer, M.D.
• Kaitlyn Sandifer
• Rita Sandler, RNFA
• Ronald B H Sandler, M.D.
• Angelina Sandoval
• Chiara Sandoval
• Sandra G Reyes, DDS. PLLC (Sandra Reyes, DDS)
• Paul Robert Sandstrom, DMD
• Haleigh Paige Sanfilippo, FNP-BC

• Certified Respiratory Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Certified Respiratory Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.