Sandra Dawn Allen
Individual provider Active NPI Peer Specialist · Port Angeles, WA
NPI 1104443142 · NPPES record last updated Mar 18, 2022
Key facts
- NPI
- 1104443142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 118 E 8TH St
Port Angeles, WA 98362-6129 - Phone
- (360) 457-0431
- Fax
- (360) 457-0493
- NPI assigned
- Jun 25, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Health | Past | Accepting new patients | |
| Peninsula Behavioral Health | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/peninsulabehavioral/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes | ||
| Social Worker | 104100000X |
Addresses
Primary practice location
118 E 8TH St
Port Angeles, WA 98362-6129
Mailing address
118 E 8TH St
Port Angeles, WA 98362-6129
Phone (360) 457-0431
Other providers in Port Angeles, WA
- Stephanie Lynn Akin
- Babra Akmal
- Perrilinn Alberti
- Lealyn Alin-Alin
- Carol Allchin
- Eloida Joven Amaranto
- Rudo Ambayi
- Tamara Travers Amendolare
- American Behavioral Health Systems, Inc.
- Barbara Amsler
All providers in Port Angeles, WA · Peer Specialist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.