Sandra J Poland, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

899566 Issued in MS

Practice address

330 N. Loretto Rd
Lebanon, KY 40033

Phone

(270) 699-2229

NPI assigned

Aug 4, 2006

Last updated

Dec 1, 2021By the provider in NPPES

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 3

Other names 1

• Miss Sandra J Provines Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Interoperability endpoints

• Direct secure messaging: sandra.poland.1@3339.direct.athenahealth.com

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1427066455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5208",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393025208",
            "telephone_number": "601-703-9485",
            "fax_number": "601-703-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N. LORETTO RD",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "40033",
            "telephone_number": "270-699-2229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905C S Frontage Rd",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393016113",
            "country_code": "US",
            "telephone_number": "601-486-4210",
            "fax_number": "601-486-4210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLAND",
        "first_name": "SANDRA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "KY",
            "license": "3016943",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MS",
            "license": "899566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "420000052",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "238524",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100780290",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sandra.poland.1@3339.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "sandra.poland.1@3339.direct.athenahealth.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "spring view",
            "address_1": "330 N. Loretto RD",
            "city": "Lebanon",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "PROVINES",
            "middle_name": "J",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Marie Osbourne, DPT
• Pat's Pharmacy, Inc.
• Pat's Pharmacy, Inc.
• Kristen Peterson, APRN
• PJ Persson, PSC
• Abigail Porter, APRN
• Erica Renee Porter
• Jacqueline Powell
• Kathleen Powers, PA
• Elizabeth Tapp Raley

• Midwife in Lebanon, KY
• Providers in Lebanon, KY by specialty
• Midwife in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.