Individual provider Active NPI

Sandra McGuire, NPC

  • Family Health Clinical Nurse Specialist
  • Dolores, CO
National Provider Identifier
1194064634
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
NP990365 Issued in CO
Practice address
507 Central Avenue
Dolores, CO 81323
Phone
(970) 882-7221
NPI assigned
Feb 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X NP990365 CO Primary

Addresses

Primary practice location

507 Central Avenue
Dolores, CO 81323

Mailing address

11621 County Road 38.5
Mancos, CO 81328
Phone (970) 533-1467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20170614000719 CO Practitioner - Nurse Practitioner 8022386135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11621 Rd
Suite 5
Mancos, CO 81328-9327
Phone (970) 533-1467

Hospital & facility affiliations

  • Southwest Memorial Hospital Hospital, Cortez, CO, CCN 061327

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP990365COMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Sunrise Health LLC CurrentSince Sep 1, 2022 Accepting new patients
Dolores Medical Center PC Past Accepting new patients
Dolores Medical Center Past Accepting new patients

Locations

680 E Hospital Dr
Cortez, CO 81321
Phone (970) 564-1122

211 E 3rd Ave
Mancos, CO 81328
Phone (970) 533-0931

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1194064634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11621 COUNTY ROAD 38.5",
            "city": "MANCOS",
            "state": "CO",
            "postal_code": "81328",
            "telephone_number": "970-533-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 CENTRAL AVENUE",
            "city": "DOLORES",
            "state": "CO",
            "postal_code": "81323",
            "telephone_number": "970-882-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "SANDRA",
        "credential": "NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "CO",
            "license": "NP990365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dolores, CO

Sources for this page

Verify at the official NPI Registry.