Active NPI
Sandra Kay Nebl, RN, MSN, ACNP
- Acute Care Nurse Practitioner
- Pueblo, CO
National Provider Identifier
1144342106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 84013
- Practice address
- 1600 N. Grand Ave.
Ste 260
Pueblo, CO 81003-2729 - Phone
- (719) 562-2010
- Fax
- (719) 562-2097
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 84013 | CO | Primary |
Addresses
Primary practice location
1600 N. Grand Ave.
Ste 260
Pueblo, CO 81003-2729
Mailing address
PO Box 560825
Denver, CO 80256-0825
Phone (719) 595-7580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07840135 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84013 | CO | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1144342106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 560825",
"city": "DENVER",
"state": "CO",
"postal_code": "802560825",
"telephone_number": "719-595-7580",
"fax_number": "719-542-0809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N. GRAND AVE.",
"address_2": "STE 260",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032729",
"telephone_number": "719-562-2010",
"fax_number": "719-562-2097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEBL",
"first_name": "SANDRA",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "RN, MSN, ACNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CO",
"license": "84013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07840135",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.