Erick Joel Sandoval, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5015336 Issued in NC

Practice address

184 Wind Chime CT Ste 103
Raleigh, NC 27615-6485

Phone

(984) 389-8330

NPI assigned

Nov 9, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26110/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1437815099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MYSTIC QUARTZ LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406460",
            "telephone_number": "617-281-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 WIND CHIME CT STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156485",
            "telephone_number": "984-389-8330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "187 Wind Chime Ct Ste 204",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276156478",
            "country_code": "US",
            "telephone_number": "980-428-3218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ERICK",
        "middle_name": "JOEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-09",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5015336",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5015336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drew Thomas Sandlin
• Abby Snell Sandling, LCSW
• Tracey Sandnes, PTA
• Hilda Adriana Sandoval Veliz, RN
• Destny Anastasia Sandoval
• Sandra M. Story, Psy.D., P.C.
• Sandra Martin, D.M.D.
• John Arnold Sandru, CRNA
• Sandy J. Kimmel, D.O., P.a.
• Elaine Sanford-Sawyer, LCSW; LICDC

• Nurse Practitioner in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.