Individual provider Active NPI

Sandra M Winters, BSN MSN APN C

  • Nurse Practitioner
  • Cherry Hill, NJ
National Provider Identifier
1245312198
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NO057015 Issued in NJ
Practice address
1412 Marlton Pike E
HCR Manorcare
Cherry Hill, NJ 08034-2230
Phone
(856) 428-6100
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NO057015 NJ Primary

Addresses

Primary practice location

1412 Marlton Pike E
HCR Manorcare
Cherry Hill, NJ 08034-2230

Mailing address

41 Paul Rd
Maple Shade, NJ 08052-3315
Phone (856) 663-4954

Other identifiers 1

IdentifierTypeStateIssuer
0051799MedicaidNJ

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
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NO057015NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Obstetrical Associates, PC Past 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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245312198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 PAUL RD",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080523315",
            "telephone_number": "856-663-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 MARLTON PIKE E",
            "address_2": "HCR MANORCARE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342230",
            "telephone_number": "856-428-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "SANDRA",
        "middle_name": "M",
        "credential": "BSN MSN APN C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "NO057015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051799",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • 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.