Mary E. Sanders

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

1787 Issued in MN

Legal business name

MARY E. SANDERS

Practice address

1000 County Road E W
Suite 142
Shoreview, MN 55126-8054

Phone

(651) 402-0618

NPI assigned

Aug 11, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Mary Elizabeth Sanders, M.A., LMFT

Title

Lic Marriage and Family Therapapist

Phone

(651) 402-0618

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1255740601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 COUNTY ROAD E W",
            "address_2": "SUITE 142",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268054",
            "telephone_number": "651-402-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COUNTY ROAD E W",
            "address_2": "SUITE 142",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268054",
            "telephone_number": "651-402-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY E. SANDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "LIC MARRIAGE AND FAMILY THERAPAPIST",
        "authorized_official_telephone_number": "651-402-0618",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., LMFT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MN",
            "license": "1787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Health Maintenance Organization in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.