Sandra Jean Oehrtman, CPNP, CNS, PHD

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

NP-04935 Issued in OH

Practice address

635 N Erie St
RM 272
Toledo, OH 43604-5317

Phone

(419) 213-4049

Fax

(419) 213-4017

NPI assigned

Mar 10, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Certified Pediatric Nurse Practitioner, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1386776805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 N ERIE ST",
            "address_2": "BILLING RM 272",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436045317",
            "telephone_number": "419-213-4049",
            "fax_number": "419-213-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N ERIE ST",
            "address_2": "RM 272",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436045317",
            "telephone_number": "419-213-4049",
            "fax_number": "419-213-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OEHRTMAN",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "credential": "CPNP, CNS, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "NP-04935",
            "primary": true
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "OH",
            "license": "NS-00181",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061022",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Uchenna Odiari
• Moses Chukwuebuka Odoeke, M.D.
• Stephanie Odom
• Ann Oehlers
• Dawn L Oehlers
• Jared Oenick
• Off the Bench Physical Therapy LLC
• Jason Ofori, M.D.
• Heather Ogdahl
• Tracee Oglesby, QBHS

• Pediatric Nurse Practitioner in Toledo, OH
• Providers in Toledo, OH by specialty
• Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.