Sandra K Cottrell, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

69284 Issued in TX

Practice address

217 Addison Rd
Lipan, TX 76462

Phone

(254) 485-5046

NPI assigned

Feb 22, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1306347653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204",
            "city": "LIPAN",
            "state": "TX",
            "postal_code": "764620204",
            "telephone_number": "254-485-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 ADDISON RD",
            "city": "LIPAN",
            "state": "TX",
            "postal_code": "76462",
            "telephone_number": "254-485-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "SANDRA",
        "middle_name": "K",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "69284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Kay Barnes, MFT ASSOCIATE
• Sue Broglie, RN
• Melissa Ryan Collier, M.S. CCC-SLP
• Deborah Cooper, CNA
• Lucinda Harwell
• Kris H Wusterhausen DO PA
• Lipan Ambulance Service
• Karma Rena Loftin, PT
• Katilin Maurine Newsom

• All providers in Lipan, TX
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.