Susan Sandblom, ARNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

AP30007510 Issued in WA

Practice address

1100 9TH Ave
Seattle, WA 98101-2756

Phone

(206) 223-6600

Fax

(206) 515-5886

NPI assigned

Jul 12, 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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Public Hospital District No 2 Skagit County WashingtonGroup PAC ID 1153225198, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Island Hospital Hospital, Anacortes, WA, CCN 500007
• Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.sandblom@direct.vmmc.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Public Hospital District No 2 Skagit County Washington

  dba Lopez Island Medical Clinic

  • Rural Health Clinic/Center
  • Lopez, WA
  • NPI 1740203967
  Medicare reassignment Care Compare group NPD
• Public Hospital District No 2 Skagit County Washington

  • Rural Health Clinic/Center
  • Eastsound, WA
  • NPI 1245827781
  NPD
• Public Hospital District No 2 Skagit County Washington

  dba Island Hospital

  • General Acute Care Hospital
  • Anacortes, WA
  • NPI 1164447850
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Public Hospital Dist No 1 Skagit

  dba Skagit Valley Hospital

  • General Acute Care Hospital
  • Mount Vernon, WA
  • NPI 1053357244
  Care Compare affiliation
• Public Hospital District No 2 Skagit County Washington

  dba Island Hospital

  • General Acute Care Hospital
  • Anacortes, WA
  • NPI 1710913140
  Care Compare affiliation

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1396944013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "address_2": "MS M4-PA",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012756",
            "telephone_number": "206-583-6025",
            "fax_number": "206-515-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012756",
            "telephone_number": "206-223-6600",
            "fax_number": "206-515-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBLOM",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP30007510",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP30007510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9656430",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlee A Sandall, L.M.P.
• Sandalwood Healing Arts (Victoria Cruz)
• Tarek Glyndwr Sandarusi
• Danielle J Sandbach
• Kaitlin Everly Sandberg, MS, RD, CD
• Christopher Matthew Sande, MD
• Kjora Sande
• Devon Sandel-Fernandez, PHD
• Shannon Sandeno, MA/LMHC
• Dave W Sander, PA-C

• Women's Health Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Women's Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.