Individual provider Active NPI

Sandra Elaine McMullen, FNP

  • Family Nurse Practitioner
  • Santa Clarita, CA
National Provider Identifier
1295870467
Registry record updated Sep 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10240 Issued in CA
Practice address
35305 Penman Rd
Agua Dulce
Santa Clarita, CA 91390-5416
Phone
(661) 268-8668
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10240 CA Primary

Addresses

Primary practice location

35305 Penman Rd
Agua Dulce
Santa Clarita, CA 91390-5416

Mailing address

35305 Penman Rd
Agua Dulce
Santa Clarita, CA 91390-5416
Phone (661) 268-8668

Other names 1

  • Ms. Sandra Elaine Spallini Former name

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253404800000",
    "number": "1295870467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35305 PENMAN RD",
            "address_2": "AGUA DULCE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913905416",
            "telephone_number": "661-268-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35305 PENMAN RD",
            "address_2": "AGUA DULCE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913905416",
            "telephone_number": "661-268-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "SANDRA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "10240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "SPALLINI",
            "middle_name": "ELAINE",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2009; 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.