Lareesa Renee Sanders, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

304260-031 Issued in WI

Practice address

4718 N 90TH St
Milwaukee, WI 53225-4906

Phone

(414) 202-6108

NPI assigned

Apr 12, 2008

Last updated

Feb 25, 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 identifiers 1

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": "1207958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1346413150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3759 N 41ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4718 N 90TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532254906",
            "telephone_number": "414-202-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "LAREESA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-12",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "304260-031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38279400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacinta Dione Sanders
• James Sanders, MD
• Jennifer Sanders, RN
• Kayla Theresa Sanders, AU.D.
• Kimberly Sanders
• Lori Ann Sanders, MSW
• Tia L Sanders
• Paul R Sandford, M.D.
• Jaskiran Sandhu, M.D.
• Navjeet Singh Sandhu, DDS

• Licensed Practical Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.