Sandra Gobler
Individual provider Active NPI Administrator Registered Nurse · Milton, WA
NPI 1124910138 · NPPES record last updated Jul 16, 2025
Key facts
- NPI
- 1124910138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Administrator Registered Nurse 163WA2000X
- License
- 246804 (AZ)
- Practice address
- 7224 Pacific Hwy E
Milton, WA 98354-9654 - Phone
- (503) 607-7345
- NPI assigned
- Jul 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246804 | AZ | MD | Administrator Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 246804 | AZ | Yes |
Addresses
Primary practice location
7224 Pacific Hwy E
Milton, WA 98354-9654
Mailing address
7224 Pacific Hwy E
Milton, WA 98354-9654
NPI Registry JSON
{
"created_epoch": "1752624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1124910138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7224 PACIFIC HWY E",
"city": "MILTON",
"state": "WA",
"postal_code": "983549654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7224 PACIFIC HWY E",
"city": "MILTON",
"state": "WA",
"postal_code": "983549654",
"telephone_number": "503-607-7345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOBLER",
"first_name": "SANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-16",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "AZ",
"license": "246804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milton, WA
- Franciscan Medical Group
- Elizabeth Caroline Freeman
- Susan Fualaau
- Lilia Galanesi
- Stevie Elizabeth Gipson
- Jennifer S. Gonzalez
- Gena Granstrom
- Zhanna Gudzyuk
- Garard Melvin Gustafson
- Stephen Haggard
All providers in Milton, WA · Administrator Registered Nurse in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2025. 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.