Individual provider Active NPI

Theresa Marie Sanden, RN MSN FNP

  • Family Nurse Practitioner
  • Carmichael, CA
National Provider Identifier
1215177548
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13722 Issued in CA
Practice address
3609 Mission Ave
Suite F
Carmichael, CA 95608-2955
Phone
(916) 484-4444
Fax
(916) 484-4447
NPI assigned
Feb 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13722 CA Primary

Addresses

Primary practice location

3609 Mission Ave
Suite F
Carmichael, CA 95608-2955

Mailing address

3609 Mission Ave
Suite F
Carmichael, CA 95608-2955
Phone (916) 484-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Neuro Spinal Care Medical Clinic CurrentSince Oct 10, 2021 Accepting new patients

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": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1215177548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 MISSION AVE",
            "address_2": "SUITE F",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082955",
            "telephone_number": "916-484-4444",
            "fax_number": "916-484-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 MISSION AVE",
            "address_2": "SUITE F",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082955",
            "telephone_number": "916-484-4444",
            "fax_number": "916-484-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDEN",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN MSN FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "13722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.