Sandra Fenter, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA60526584 Issued in WA

Practice address

11126 SE 256TH St
Suite O203
Kent, WA 98030-5633

Phone

(253) 777-4298

Fax

(253) 944-9196

NPI assigned

Jul 25, 2016

Last updated

Jul 25, 2016By the provider in NPPES

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

Other names 1

• Sandi Fenter Professional name

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": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1104379270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11126 SE 256TH ST",
            "address_2": "SUITE O203",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980305633",
            "telephone_number": "253-777-4298",
            "fax_number": "253-944-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11126 SE 256TH ST",
            "address_2": "SUITE O203",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980305633",
            "telephone_number": "253-777-4298",
            "fax_number": "253-944-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTER",
        "first_name": "SANDRA",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60526584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMP",
            "identifier": "MA60526584",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDI",
            "last_name": "FENTER",
            "credential": "LMP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Safa Fehri, MD
• Yourusalem Fekadu Berhe, RN
• Elizabeth Laird Felker
• Rebecca Fenander, M.S., CCC-SLP
• Zhi Feng, PHARM.D
• Madison Nicole Fergerstrom, MA, LMHCA
• Kayla Ferguson
• Bryan Fernandez Sanchez, LMT
• Danalyn Lia Fernandez
• Joseph S Fernandez, PHARM.D.

• Specialist in Kent, WA
• Providers in Kent, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.