Active NPI
Jerri Lynne Sanders, SW
- Social Worker
- Oil City, PA
National Provider Identifier
1457952863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW135599
- Practice address
- 716 E 2ND St
Oil City, PA 16301-2330 - Phone
- (814) 677-4005
- NPI assigned
- Nov 3, 2020
- Last updated
- Nov 3, 2020
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW135599 | PA | Primary |
Addresses
Primary practice location
716 E 2ND St
Oil City, PA 16301-2330
Mailing address
716 E 2ND St
Oil City, PA 16301-2330
Phone (814) 677-4005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW135599 | Other | PA | SOCIAL WORKER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW135599 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1457952863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 E 2ND ST",
"city": "OIL CITY",
"state": "PA",
"postal_code": "163012330",
"telephone_number": "814-677-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 E 2ND ST",
"city": "OIL CITY",
"state": "PA",
"postal_code": "163012330",
"telephone_number": "814-677-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "JERRI",
"middle_name": "LYNNE",
"credential": "SW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW135599",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORKER",
"identifier": "SW135599",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oil City, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.