Jessie Dawn Sanders, M.A. ED.

Primary specialty

SpecialistTaxonomy code 174400000X

License

698251121 Issued in NY

Practice address

749 E 102ND St
Brooklyn, NY 11236-2607

Phone

(719) 649-4319

NPI assigned

Mar 29, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1497098396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 E 102ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362607",
            "telephone_number": "719-649-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 E 102ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362607",
            "telephone_number": "719-649-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JESSIE",
        "middle_name": "DAWN",
        "credential": "M.A. ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "698251121",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Sanders
• Elizabeth Sanders, LMSW
• Eric Sanders
• Eva Ann Sanders, LCSW
• Jessica Sanders
• Lauren Jacqueline Sanders, FNP
• Marvin Sanders, M.D.
• Nina Ellen Sanders, LCSW
• Samira Sanders
• Tanisha R Sanders, LCSW

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.