Active NPI
Sandra La Ree Mote, MS CS ARNP
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Dover, NH
National Provider Identifier
1437111606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- License
- 589
- Practice address
- 10 Members Way
Suite 401
Dover, NH 03820-5933 - Phone
- (603) 742-9200
- Fax
- (603) 742-4605
- NPI assigned
- Apr 4, 2006
- Last updated
- Feb 1, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 589 | NH | Primary |
Addresses
Primary practice location
10 Members Way
Suite 401
Dover, NH 03820-5933
Mailing address
789 Central Ave
Dover, NH 03820-2526
Phone (603) 742-9200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3074048 | Medicaid | NH | |
| 7135879 | Other | AETNA | |
| 2023607 | Other | NH | CIGNA |
| 4009533YONH01 | Other | NH | BCBS |
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)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 589 | NH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1437111606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "789 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "038202526",
"telephone_number": "603-742-9200",
"fax_number": "603-742-4605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MEMBERS WAY",
"address_2": "SUITE 401",
"city": "DOVER",
"state": "NH",
"postal_code": "038205933",
"telephone_number": "603-742-9200",
"fax_number": "603-742-4605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTE",
"first_name": "SANDRA",
"middle_name": "LA REE",
"credential": "MS CS ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "NH",
"license": "589",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3074048",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7135879",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2023607",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4009533YONH01",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.