Organization Active NPI

Sandstone Primary Care, L.L.C.

  • Primary Care Clinic/Center
  • Frostburg, MD
National Provider Identifier
1093483455
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SANDSTONE PRIMARY CARE, L.L.C.
Practice address
133 E Main St
Frostburg, MD 21532-1336
Phone
(240) 284-2238
NPI assigned
Sep 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Authorized official

Name
Caryn L Amedee, CRNPNPI 1104476274
Title
Family Nurse Practitioner/Owner
Phone
(240) 284-2238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

133 E Main St
Frostburg, MD 21532-1336

Mailing address

133 E Main St
Frostburg, MD 21532-1336
Phone (240) 284-2238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210902001967 MD Part B Supplier - Clinic/Group Practice 2961808795 Receives reassigned benefits from 1 practitioner
Practice locations: Frostburg, MD

National Provider Directory

National Provider Directory

Locations

133 E Main St
Frostburg, MD 21532
Phone (240) 284-2238

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1093483455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E MAIN ST",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321336",
            "telephone_number": "240-284-2238",
            "fax_number": "240-284-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E MAIN ST",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321336",
            "telephone_number": "240-284-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDSTONE PRIMARY CARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "AMEDEE",
        "authorized_official_first_name": "CARYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "240-284-2238",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frostburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.