Active NPI
Sandi Y. Rosenzweig, ARNP
- Family Nurse Practitioner
- Longview, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60029929
- Practice address
- 812 Ocean Beach Hwy
Ste. 200
Longview, WA 98632-4082 - Phone
- (360) 636-6900
- Fax
- (360) 636-2336
- NPI assigned
- Jun 16, 2008
- Last updated
- Feb 16, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60029929 | WA | Primary |
Addresses
Primary practice location
812 Ocean Beach Hwy
Ste. 200
Longview, WA 98632-4082
Mailing address
1115 SE 164TH Ave
Dept 358
Vancouver, WA 98683-9324
Phone (360) 636-6900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500605156 | Medicaid | OR | |
| 9657883 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
333 1St St
Suite a
San Francisco, CA 94105-3060
440 Franklin St
Bloomfield, NJ 07003-4378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Circle Medical Care Group PA | Current | Accepting new patients |
Locations
333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441
1 Research Ct
Ste 450
Rockville, MD 20850
Phone (240) 403-4068
555 Andover Park W
Ste 200
Tukwila, WA 98188
Phone (229) 500-6056
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1245490093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 SE 164TH AVE",
"address_2": "DEPT 358",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839324",
"telephone_number": "360-636-6900",
"fax_number": "360-636-2336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 OCEAN BEACH HWY",
"address_2": "STE. 200",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986324082",
"telephone_number": "360-636-6900",
"fax_number": "360-636-2336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENZWEIG",
"first_name": "SANDI",
"middle_name": "Y.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-16",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60029929",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500605156",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9657883",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.