Sandra Pollard, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704161852 Issued in MI

Practice address

5525 S Martin Luther King Jr Blvd
Lansing, MI 48911-3546

Phone

(517) 913-3888

Fax

(517) 394-7483

NPI assigned

Jun 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sandra Larson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1114411295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62178 TICONDEROGA DR UNIT 6",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781075",
            "telephone_number": "734-904-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 S MARTIN LUTHER KING JR BLVD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489113546",
            "telephone_number": "517-913-3888",
            "fax_number": "517-394-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "SANDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704161852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "LARSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Herve Wafo Pola
• Brenda Sue Poland, NPC
• George Peter Poletes, M.D.
• Scott Polivka
• Nicholas James Pollak
• Mikaela Pollitz
• Kenneth Pollok, BCBA, LBA, TLLP
• Fernando Ponce, D.C.
• Deborah Pond, CSW
• Anne Marie Christine Pop, D.O

• Nurse Practitioner in Lansing, MI
• Providers in Lansing, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.