Active NPI
Sheree L. Dandridge, PROSTHESIST
- Prosthetist
- Martinsville, VA
National Provider Identifier
1275976326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 1275976326
- Practice address
- 700 Mica St
Martinsville, VA 24112-1716 - Phone
- (276) 340-1833
- NPI assigned
- Apr 8, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | 1204017359 | VA | |
| Prosthetist | 224P00000X | 1275976326 | VA | Primary |
Addresses
Primary practice location
700 Mica St
Martinsville, VA 24112-1716
Mailing address
700 Mica St
Martinsville, VA 24112-1716
Phone (276) 340-1833
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 |
|---|---|---|---|
| 1204017359 | VA | MD | Prosthetist |
| 1275976326 | VA | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1275976326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 MICA ST",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241121716",
"telephone_number": "276-340-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 MICA ST",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241121716",
"telephone_number": "276-340-1833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANDRIDGE",
"first_name": "SHEREE",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "PROSTHESIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-08",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "VA",
"license": "1204017359",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "VA",
"license": "1275976326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.