Individual provider Active NPI

Sandra Diane Sammut, FNP

  • Nurse Practitioner
  • Redding, CA
National Provider Identifier
1174650758
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
607935(LICENSE)15204 Issued in CA
Practice address
1145 Whiskeytown Court, Suite a
Redding, CA 96001
Phone
(530) 242-6821
Fax
(530) 242-6421
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN607935 CA
Nurse Practitioner 363L00000X 607935(LICENSE)15204 CA Primary

Addresses

Primary practice location

1145 Whiskeytown Court, Suite a
Redding, CA 96001

Mailing address

1145 Whiskeytown Court
Suite a
Redding, CA 96001
Phone (530) 222-3856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110725000432 CA Practitioner - Nurse Practitioner 2769650464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15204CAMDGeneral Practice Dentistry
607935(LICENSE)15204CAMDNurse Practitioner
RN607935CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmedica Inc CurrentSince May 23, 2011 Accepting new patients

Locations

1145 Whiskeytown Ct
#A
Redding, CA 96001

1145 Whiskeytown Ct
Ste A
Redding, CA 96001
Phone (530) 246-4180

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1174650758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 WHISKEYTOWN COURT",
            "address_2": "SUITE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-222-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 WHISKEYTOWN COURT, SUITE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-242-6821",
            "fax_number": "530-242-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMUT",
        "first_name": "SANDRA",
        "middle_name": "DIANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "RN607935",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "607935(LICENSE)15204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.