Sandra Wynee Jefferson, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

713252 Issued in CA

Practice address

275 South Aspen Street Stop 89
Buckley Afb, CO 80011-9547

Phone

(720) 847-6485

Fax

(720) 847-6494

NPI assigned

Oct 9, 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

State licenses

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1366693277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S ASPEN ST STOP 89",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800119562",
            "telephone_number": "720-847-6585",
            "fax_number": "720-847-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SOUTH ASPEN STREET STOP 89",
            "city": "BUCKLEY AFB",
            "state": "CO",
            "postal_code": "800119547",
            "telephone_number": "720-847-6485",
            "fax_number": "720-847-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "SANDRA",
        "middle_name": "WYNEE",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "713252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorie Sharyl Gose, PSY.D.
• Stephen Hahn
• Nathan J Holloway, M.D.
• Whitney Howard, PHARMD
• Ashley Lynn Ingersoll, PA-C
• Emil Gerard Lee
• John Livres, PHARMD
• George A Macgregor Jr., PHARMD
• Alexander David Martin, RN
• Zachery Lee Miller, PHARMD

• Registered Dietitian in Buckley Afb, CO
• Providers in Buckley Afb, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.