Active NPI
Delorianne Ross Sander
- Occupational Therapist
- Saint Paul, MN
National Provider Identifier
1124798780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 106647
- Practice address
- 640 Jackson St
Saint Paul, MN 55101-2595 - Phone
- (651) 254-7042
- NPI assigned
- Sep 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 106647 | MN | Primary |
Addresses
Primary practice location
640 Jackson St
Saint Paul, MN 55101-2595
Mailing address
3550 E 46TH St Apt 428
Minneapolis, MN 55406-4098
Phone (651) 356-5820
Other practice location 1
2200 University Ave W Ste 140
Saint Paul, MN 55114-1844
Phone (612) 672-2815
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | delorianne.sander@fairview.org | ||
| Direct Messaging Address | Delorianne.R.Sander@healthpartners.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106647 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Past | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients | |
| The Therapy Spot, LLC | Occupational Therapist | Past | Accepting new patients |
Interoperability endpoints
- delorianne.r.sander@healthpartners.com
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Speech-Language Pathologist
- Saint Paul, MN
- NPI 1619446382
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1124798780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 E 46TH ST APT 428",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554064098",
"telephone_number": "651-356-5820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 JACKSON ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012595",
"telephone_number": "651-254-7042"
}
],
"practiceLocations": [
{
"address_1": "2200 University Ave W Ste 140",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551141844",
"country_code": "US",
"telephone_number": "612-672-2815",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDER",
"first_name": "DELORIANNE",
"middle_name": "ROSS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-15",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "106647",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "delorianne.sander@fairview.org",
"affiliation": "N",
"address_1": "2200 University Ave W Ste 140",
"city": "Saint Paul",
"state": "MN",
"country_code": "US",
"postal_code": "551141844",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Delorianne.R.Sander@healthpartners.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "640 Jackson St",
"city": "Saint Paul",
"state": "MN",
"country_code": "US",
"postal_code": "551012595",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.