Active NPI
Sandra C Jeppesen, APRN, CRNA
- Certified Registered Nurse Anesthetist
- Norwich, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 000575
- Practice address
- 326 Washington St
Norwich, CT 06360-2740 - Phone
- (860) 889-8331
- NPI assigned
- Feb 19, 2008
- 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 Registered Nurse Anesthetist | 367500000X | 000575 | CT | Primary |
Addresses
Primary practice location
326 Washington St
Norwich, CT 06360-2740
Mailing address
3998 Fair Ridge Dr
St 300
Fairfax, VA 22033-2907
Phone (703) 295-9360
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004199643 | Medicaid | CT | |
| 430033147 | Other | CT | RAILROAD MEDICARE |
Other names 1
- Sandra C Friedman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
326 Washington St
Norwich, CT 06360-2740
Phone (860) 282-0833
Hospital & facility affiliations
- William W Backus Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000575 | CT | MD | Occupational Health Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Willimantic PC | Current | Accepting new patients | |
| Connecticut Gi PLLC | Current | Accepting new patients | |
| North American Partners in Anesthesia Connecticut PC | Current | Accepting new patients | |
| Woodland Anesthesia Associates PC | Current | Accepting new patients | |
| Integrated Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Norwich Anesthesia Associates, PC | Past | Accepting new patients |
Locations
701 Cottage Grove Rd
Ste F230
Bloomfield, CT 06002
Phone (860) 243-5569
85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
99 E River Dr
Fl 5
Hartford, CT 06108
Phone (860) 282-4022
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
37 Kennedy Dr
Ste C
Putnam, CT 06260
Phone (860) 423-7558
30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131
2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375
1185 Main St
Willimantic, CT 06226
Phone (860) 423-7558
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Shelton, CT
- NPI 1881636397
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Willimantic, CT
- NPI 1306905799
-
- Gastroenterology Physician
- Hartford, CT
- NPI 1023124625
-
- Anesthesiology Physician
- New Britain, CT
- NPI 1316994775
-
- Anesthesiology Physician
- Hartford, CT
- NPI 1437109824
-
- Anesthesiology Physician
- Norwich, CT
- NPI 1114965035
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1639135718
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427241600000",
"number": "1265600704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3998 FAIR RIDGE DR",
"address_2": "ST 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332907",
"telephone_number": "703-295-9360",
"fax_number": "703-766-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 WASHINGTON ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602740",
"telephone_number": "860-889-8331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEPPESEN",
"first_name": "SANDRA",
"middle_name": "C",
"credential": "APRN, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-19",
"last_updated": "2015-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "000575",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004199643",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430033147",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "FRIEDMAN",
"middle_name": "C",
"credential": "APRN, CRNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.