Individual provider Active NPI

Kamalneel Kaur Sandhu

  • Family Nurse Practitioner
  • Puyallup, WA
National Provider Identifier
1124594015
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61194166 Issued in WA
Practice address
15125 Meridian E Ste 102
Puyallup, WA 98375-6620
Phone
(253) 697-3066
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95009495 CA
Family Nurse Practitioner 363LF0000X AP61194166 WA Primary

Addresses

Primary practice location

15125 Meridian E Ste 102
Puyallup, WA 98375-6620

Mailing address

15125 Meridian E Ste 102
Puyallup, WA 98375-6620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190222002777 CA Practitioner - Nurse Practitioner 1951640630 Reassigns benefits to 1 organization
I20220121001481 WA Practitioner - Nurse Practitioner 1951640630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

15870 1St Ave S
Suite 101
Burien, WA 98148-1301
Phone (206) 242-2501

222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

5314 176TH St E
A
Tacoma, WA 98446-7507
Phone (253) 875-7630

Hospital & facility affiliations

  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jan 3, 2022 Accepting new patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
Kern County Hospital Authority CurrentSince Jan 14, 2019 Accepting new patients
Multicare Health System CurrentSince Jun 26, 2023 Accepting new patients
Multicare Health System CurrentSince Jun 26, 2023 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jan 3, 2022 Accepting new patients
Kern County Hospital Authority CurrentSince Jan 14, 2019 Accepting new patients
Multicare Health System PastSince Oct 20, 2024 Accepting new patients

Locations

1111 Columbus St
Bakersfield, CA 93305
Phone (661) 326-5052

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

1700 Mount Vernon Ave
Rm 1241
Bakersfield, CA 93306
Phone (661) 326-2220

2511 M Ave
Ste D
Anacortes, WA 98221
Phone (360) 293-0308

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

307 S 13th St
Ste 100
Mount Vernon, WA 98274
Phone (360) 424-2630

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

307 S 13th St
Ste 300
Mount Vernon, WA 98274
Phone (360) 336-9757

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1124594015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15125 MERIDIAN E STE 102",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756620",
            "fax_number": "253-697-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15125 MERIDIAN E STE 102",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756620",
            "telephone_number": "253-697-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "KAMALNEEL",
        "middle_name": "KAUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009495",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61194166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.