Margie Dianne Sanders

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

100086 Issued in NC

Practice address

315 E Grover St
Shelby, NC 28150-3919

Phone

(704) 484-5100

NPI assigned

Feb 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Other names 1

• Dianne Sanders Other name

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194860791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 VANTAGE DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281509241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503919",
            "telephone_number": "704-484-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "MARGIE",
        "middle_name": "DIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "100086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "100086",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNE",
            "last_name": "SANDERS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jasmin Salas, PA-C
• Nicole Elizabeth Fallon Sales
• David James Salter, PA
• Ivan Orlando Sanchez, MD
• Janet Lee Sanders, R.N.
• Sharon Sanders
• Sandras House Group Homes, LLC
• Sara Richard
• Vishmayaa Saravanan, MD
• Dan R Sarratt, CRNA

• Medical Physician Assistant in Shelby, NC
• Providers in Shelby, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.