Active NPI
Sandee Cysewski
- Registered Nurse
- Granby, CO
National Provider Identifier
1386017671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN0122403
- Practice address
- 40 Fox Drive 103B #2434
Granby, CO 80446 - Phone
- (303) 332-3866
- NPI assigned
- Nov 9, 2015
- Last updated
- Nov 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN0122403 | CO | Primary |
Addresses
Primary practice location
40 Fox Drive 103B #2434
Granby, CO 80446
Mailing address
40 Fox Drive 103B PO 2434
Granby, CO 80446
Phone (303) 332-3866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0122403 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1386017671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 FOX DRIVE 103B PO 2434",
"city": "GRANBY",
"state": "CO",
"postal_code": "80446",
"telephone_number": "303-332-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 FOX DRIVE 103B #2434",
"city": "GRANBY",
"state": "CO",
"postal_code": "80446",
"telephone_number": "303-332-3866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CYSEWSKI",
"first_name": "SANDEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-09",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN0122403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granby, CO
- Colorado West Regional Mental Health, Inc. (Health Solutions West)
- Colorado West Regional Mental Health, Inc. (Health Solutions West)
- County of Grand (Grand County Emergency Medical Services)
- Ellen Grace Cowman, LCSW
- Jordyn Crane, RDN
- Kaitey Davidson
- Dermatology Center of Steamboat Springs, LLC a Professional LLC
- Kathryn Dickson, PT
- Dillon Companies LLC (City Market Pharmacy)
- Shawn Dinkel, M.A., L.P.C., CACII
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.