Active NPI
Sandra L Hinds, CPNP
- Pediatric Nurse Practitioner
- Ozark, MO
National Provider Identifier
1225080344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 104186
- Practice address
- 1741 S 15TH St
Ozark, MO 65721-9030 - Phone
- (417) 730-5550
- Fax
- (417) 730-5555
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 44623 | KS | |
| Pediatric Nurse Practitioner | 363LP0200X | 104186 | MO | Primary |
Addresses
Primary practice location
1741 S 15TH St
Ozark, MO 65721-9030
Mailing address
PO Box 4046
Springfield, MO 65808-4046
Phone (417) 269-5712
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00894266 | Other | RR MEDICARE | |
| 100345680B | Medicaid | KS | |
| 1225080344 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44623 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Past | Accepting new patients | |
| Advocates for a Healthy Community, Inc. | Past | Accepting new patients |
Locations
120 Hospital Dr
Ste 350
Lebanon, MO 65536
Phone (417) 533-6729
120 Hospital Dr
Ste 300350
Lebanon, MO 65536
Phone (417) 533-6746
940 W Mount Vernon St
Ste 220
Nixa, MO 65714
Phone (417) 724-5437
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
Interoperability endpoints
- sandy.hines.p1@direct.jordanvalley.nextgenshare.com
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
- Federally Qualified Health Center (FQHC)
- Springfield, MO
- NPI 1366575573
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1225080344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4046",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658084046",
"telephone_number": "417-269-5712",
"fax_number": "417-269-7567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 S 15TH ST",
"city": "OZARK",
"state": "MO",
"postal_code": "657219030",
"telephone_number": "417-730-5550",
"fax_number": "417-730-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINDS",
"first_name": "SANDRA",
"middle_name": "L",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "44623",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MO",
"license": "104186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00894266",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100345680B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225080344",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ozark, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.