Joseph Lee Sanderson Jr., CRNA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

216787 Issued in NC

Practice address

1001 Tawana CT
Knightdale, NC 27545-7647

Phone

(919) 218-6824

NPI assigned

Jun 8, 2011

Last updated

Dec 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1225322001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 TAWANA CT",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457647",
            "telephone_number": "919-218-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TAWANA CT",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457647",
            "telephone_number": "919-218-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "JOSEPH",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "216787",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "088362",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9334361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Royster
• Teresa Michele Rucker, LCSWA
• Michelle Saint-Dic
• Lareeca Sampson
• Jonathan Lee Samuelson, PT
• Holly Linn Santago, DDS
• Adam D Sauls, OD
• Adam Schessel, PT, DPT
• Jennifer Schleyer, PT, DPT, CSCS
• Louise P. Schroeder

• Registered Nurse in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.