Individual provider Active NPI

Sandy Holland, FNP

  • Family Nurse Practitioner
  • Flint, MI
National Provider Identifier
1093213977
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017020990 Issued in MI
Practice address
4100 Beecher Road
Flint, MI 48532-2819
Phone
(810) 342-3801
NPI assigned
Jan 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2017020990 MI Primary

Addresses

Primary practice location

4100 Beecher Road
Flint, MI 48532-2819

Mailing address

4100 Beecher Rd
Flint, MI 48532-3661
Phone (810) 342-3801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180413001778 MI Practitioner - Nurse Practitioner 6608139159 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

50 N Perry St
McLaren Oakland
Pontiac, MI 48342-2217
Phone (248) 338-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2017020990MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Oakland CurrentSince Aug 1, 2020 Accepting new patients
Burton Urgent Care PLLC CurrentSince Mar 11, 2018 Accepting new patients
Acute Care Surgery Medical Group, Inc. CurrentSince Aug 1, 2020 Accepting new patients
McLaren Oakland CurrentSince Aug 1, 2020 Accepting new patients
Surgical Affiliates of California Past Accepting new patients

Locations

8172 Reliable Pkwy
Chicago, IL 60686
Phone (517) 908-0847

1481 S Center Rd
Ste B
Burton, MI 48509
Phone (810) 742-6802

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

50 N Perry St
#2
Pontiac, MI 48342
Phone (248) 338-5865

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1093213977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323661",
            "telephone_number": "810-342-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 BEECHER ROAD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322819",
            "telephone_number": "810-342-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "SANDY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "2017020990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.