Active NPI
Sandra Dee Housden, RRT, CRT
- Certified Respiratory Therapist
- Modesto, CA
National Provider Identifier
1255915625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- 38844
- Practice address
- 218 E Orangeburg Ave
Modesto, CA 95350-5313 - Phone
- (209) 523-6900
- Fax
- (209) 523-6912
- NPI assigned
- May 11, 2021
- 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 |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | 38844 | CA | Primary |
Addresses
Primary practice location
218 E Orangeburg Ave
Modesto, CA 95350-5313
Mailing address
3125 McHenry Ave Ste D
Modesto, CA 95350-1451
Phone (209) 523-6910
Other practice location 1
3125 McHenry Ave Ste D
Modesto, CA 95350-1451
Phone (209) 523-6910
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38844 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adolescence'S Last Resort | Past | Accepting new patients | |
| Adolescence'S Last Resort | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Abuse Rehabilitation Facility
- Modesto, CA
- NPI 1417252032
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Modesto, CA
- NPI 1841585015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1255915625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 MCHENRY AVE STE D",
"city": "MODESTO",
"state": "CA",
"postal_code": "953501451",
"telephone_number": "209-523-6910",
"fax_number": "209-523-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 E ORANGEBURG AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953505313",
"telephone_number": "209-523-6900",
"fax_number": "209-523-6912"
}
],
"practiceLocations": [
{
"address_1": "3125 McHenry Ave Ste D",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953501451",
"country_code": "US",
"telephone_number": "209-523-6910",
"fax_number": "209-523-6912",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUSDEN",
"first_name": "SANDRA",
"middle_name": "DEE",
"credential": "RRT, CRT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-11",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "CA",
"license": "38844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.