Patricia Sandoval, BSN RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

58046 Issued in NM

Practice address

1500 E 25TH St
Farmington, NM 87401-9071

Phone

(505) 599-8612

NPI assigned

May 16, 2022

Last updated

May 16, 2022By the provider in NPPES

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

Other names 1

• Patricia Ibuado Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1316684848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 ENGLISH RD",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874028308",
            "telephone_number": "505-793-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E 25TH ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019071",
            "telephone_number": "505-599-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "PATRICIA",
        "credential": "BSN RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "58046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "IBUADO",
            "credential": "BSN RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyle Wesley Sanders, M.D.
• Faraz Sandhu, M.D.
• Sandoval Chiropractic Health Center, Inc
• Andy Lorenzo Sandoval, D.C.
• Jackie Faith Sandoval, LMSW
• Phyllis M Sandoval
• Valerie Sandoval
• Sandrock Podiatry LLC
• Dee Ann Sands, LPCC, NCC, CADS
• Chandan Singh Sapkota, MD

• Registered Nurse in Farmington, NM
• Providers in Farmington, NM by specialty
• Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.