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

LicenseStateTypeSpecialty
246804AZMDAdministrator Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 16, 2025.

{
    "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

All providers in Milton, WA · Administrator Registered Nurse in Washington

Sources for this page

Verify at the official NPI Registry.