Sandra Ann Weiland, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0060869 Issued in OK

Practice address

102 North Choctaw
Wapanucka, OK 73461

Phone

(580) 428-3527

NPI assigned

Dec 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Doctor'S Clinic of Durant, Inc.

  • Family Medicine Physician
  • Wapanucka, OK
  • NPI 1861701526
  NPD (past)
• Republic Emergency Services PA

  • Emergency Medicine Physician
  • Sherman, TX
  • NPI 1104875624
  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1093998296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 NORTH CHOCTAW STREET",
            "city": "WAPANUCKA",
            "state": "OK",
            "postal_code": "73461",
            "telephone_number": "580-937-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 NORTH CHOCTAW",
            "city": "WAPANUCKA",
            "state": "OK",
            "postal_code": "73461",
            "telephone_number": "580-428-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILAND",
        "first_name": "SANDRA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0060869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200046190A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Board of Education Wapanucka School District I037
• Doctor'S Clinic of Durant, Inc.
• Connie Russell

• Family Nurse Practitioner in Wapanucka, OK
• Providers in Wapanucka, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.