Meredith Sandidge

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A14181 Issued in NC

Practice address

5816 Creedmoor Rd Ste 104
Raleigh, NC 27612-2310

Phone

(919) 665-4673

Fax

(919) 882-8348

NPI assigned

Nov 30, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1154835080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5816 CREEDMOOR RD STE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122310",
            "telephone_number": "919-665-4673",
            "fax_number": "919-882-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 CREEDMOOR RD STE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122310",
            "telephone_number": "919-665-4673",
            "fax_number": "919-882-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDIDGE",
        "first_name": "MEREDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosine Lawanda Sanders, PH.D.
• Summer Nicole Sanders
• Sweetly Togba Sanders, MSW, LCSWA
• Tracie Ann Sanders
• Ritu Raj Sandhu, M.D.
• Sandler PT LLC
• Drew Thomas Sandlin
• Abby Snell Sandling, LCSW
• Tracey Sandnes, PTA
• Hilda Adriana Sandoval Veliz, RN

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.