Heather Sandfort

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP030021 Issued in PA

Practice address

1501 N Broad St
Philadelphia, PA 19122-3319

Phone

(267) 456-5553

NPI assigned

Jul 16, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1194563189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9004 AYRDALE CRES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281047",
            "telephone_number": "267-993-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223319",
            "telephone_number": "267-456-5553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9004 Ayrdale Cres",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191281047",
            "country_code": "US",
            "telephone_number": "267-993-0988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDFORT",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Sanders
• Andrew Kent Sanderson II, M.D.
• Desmond Kneib Sanderson Jr., FNP-C
• Kenneth Lee Sanderson Jr., PHARMD
• Shelbie Sanderson, PA
• Manreet Sandhu
• Qudsia Ikram Sandhu, MD
• Satinder Sandhu, D.M.D
• Sumeet Sandhu, M.D.
• Patricia Carol Sandiford, MD

• Family Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.