Active NPI
Sandra Colleen Disanto, C.N.P.
- Nurse Practitioner
- Novi, MI
National Provider Identifier
1356565907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704206893
- Practice address
- 47601 Grand River Ave
Novi, MI 48374-1233 - Phone
- (248) 465-5345
- Fax
- (248) 465-5357
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704206893 | MI | Primary |
Addresses
Primary practice location
47601 Grand River Ave
Novi, MI 48374-1233
Mailing address
2799 W Grand Blvd
Department of Occupational Health
Detroit, MI 48202-2608
Phone (313) 916-2600
Other practice location 1
2799 W Grand Blvd
Department of Vascular Surgery
Detroit, MI 48202-2608
Phone (313) 916-3156
Other names 1
- Dr. Sandra Colleen Saucier
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1356565907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"address_2": "DEPARTMENT OF OCCUPATIONAL HEALTH",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "313-916-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47601 GRAND RIVER AVE",
"city": "NOVI",
"state": "MI",
"postal_code": "483741233",
"telephone_number": "248-465-5345",
"fax_number": "248-465-5357"
}
],
"practiceLocations": [
{
"address_1": "2799 W Grand Blvd",
"address_2": "Department of Vascular Surgery",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482022608",
"country_code": "US",
"telephone_number": "313-916-3156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DISANTO",
"first_name": "SANDRA",
"middle_name": "COLLEEN",
"name_prefix": "Dr.",
"credential": "C.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704206893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "SAUCIER",
"middle_name": "COLLEEN",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.