Sandra Lynn Bernard, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2200 Issued in CO

Practice address

255 Union Blvd Ste 300
Lakewood, CO 80228-1859

Phone

(303) 986-9583

Fax

(303) 986-2901

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sandra Lynn Schouten Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427142181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5964 HERZMAN DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804395407",
            "telephone_number": "303-679-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 UNION BLVD STE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281859",
            "telephone_number": "303-986-9583",
            "fax_number": "303-986-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "2200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2200",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "SCHOUTEN",
            "middle_name": "LYNN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jay Joseph Berkes, MD
• Matti Bermingham, ATC, LAT, LMT
• Alyssa Bernal
• Jennifer Bacalla Bernard, M.D.
• Jonathan Bernard, PHARMD
• Natalie Marie Berner, PHARMD
• Martin Bernstein
• Darby Louise Berringer, BT
• Taylor Berry, DNP, PMHNP
• Joel S Bershof, RPH

• Medical Physician Assistant in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.