Sandra Gail Southall, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

612752 Issued in NY

Practice address

58 Cedar St
Rochester, NY 14611-1731

Phone

(585) 755-7658

NPI assigned

Nov 10, 2008

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1336393966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 CEDAR ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146111731",
            "telephone_number": "585-755-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 CEDAR ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146111731",
            "telephone_number": "585-755-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHALL",
        "first_name": "SANDRA",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "612752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Soule
• Thomas Gillette Soule, LCSW
• Anthony J Sousou, MD
• Kristyn E Sousou, NP
• South Coast Rochester LLC
• Southeast OB-GYN PC (Southeast Obstetrics & Gynecology PC)
• Southern Cross Medical Products
• Southern Tier Cardiology PLLC
• Southside Medical Supply, LLC
• Southtown Vision Inc (Sterling Optical)

• Registered Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.