Sandra Self, RN BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN0000084424 Issued in TN

Practice address

301 W End Ave
Dickson, TN 37055-1725

Phone

(615) 446-2839

NPI assigned

Oct 3, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1457603334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W END AVE",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551725",
            "telephone_number": "615-446-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W END AVE",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551725",
            "telephone_number": "615-446-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "SANDRA",
        "credential": "RN BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000084424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Martin Schrock, D.C.
• Scott F Jutte DC PC
• Amber Mishael Scott, PT, DPT
• Jennifer R Scott
• Phillip Wendell Scott Jr., D.C.
• Senior Moments Healthcare Inc.
• Madison Taylor Sesler
• Jerry Craig Settle, LPC/MHSP
• Megan Shade
• Viren Jashvantlal Shah, M.D.

• Registered Nurse in Dickson, TN
• Providers in Dickson, TN by specialty
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.