Sandra Dayle Cruickshank, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NUR RN LIC 8033 Issued in MT

Practice address

100 West Wicks Lane
Billings, MT 59105-1539

Phone

(406) 294-8643

NPI assigned

Sep 8, 2005

Last updated

Sep 14, 2015By the provider in NPPES

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 identifiers 1

Other names 1

• Sandra Dayle Paulson Professional name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Intermountain Planned Parenthood

  dba Planned Parenthood of Montana Helena

  • Non-Pharmacy Dispensing Site
  • Helena, MT
  • NPI 1558938514
  NPD (past)
• Intermountain Planned Parenthood Inc

  dba Planned Parenthood of Montana

  • Non-Surgical Family Planning Clinic/Center
  • Billings, MT
  • NPI 1134297179
  NPD (past)
• Fairlight Medical Center

  • Urgent Care Clinic/Center
  • Williston, ND
  • NPI 1811162811
  NPD (past)
• Williston Radiology Consultants PC

  dba Fairlight Medical Center

  • Specialist
  • Williston, ND
  • NPI 1942375852
  NPD (past)

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1114911864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEST WICKS LANE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591051539",
            "telephone_number": "406-294-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST WICKS LANE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591051539",
            "telephone_number": "406-294-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUICKSHANK",
        "first_name": "SANDRA",
        "middle_name": "DAYLE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR RN LIC 8033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4300595",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "PAULSON",
            "middle_name": "DAYLE",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Crossway Counseling, PLLC
• Crossway Incorporated
• Valleri Crouch, LAC
• Colton Crowther, DO
• Ashley Crtalic, LCPC
• Linda Crummett, ACSW,LCSW
• Martha Lorena Cruz, DO
• Crystal Clean and Caring
• Crystal Skies Counseling, LLC.
• Erin Culp

• Family Nurse Practitioner in Billings, MT
• Providers in Billings, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.