Cathy L Sandidge, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0000039813 Issued in TN

Practice address

201 Park Blvd
Rogersville, TN 37857-2919

Phone

(423) 272-7641

Fax

(423) 921-8073

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

No

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508904301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ALLISON ST",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378572207",
            "telephone_number": "423-272-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PARK BLVD",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378572919",
            "telephone_number": "423-272-7641",
            "fax_number": "423-921-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDIDGE",
        "first_name": "CATHY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000039813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rural Health Services Consortium of Upper East Tennessee Inc
• Rural Health Services Consortium of Upper East Tennessee Inc
• Rural Health Services Consortium of Upper East Tennessee Inc
• Rural Health Services Consortium of Upper East Tennessee Inc
• Rural Health Services Consortium of Upper East Tennessee Inc
• David Charles Saunders, PA
• Horace Edward Saunders III, D.D.S.
• Lindsay Sexton, FNP
• Lata Shah, MD
• Joyce Lafollette Shea, CRNP

• All providers in Rogersville, TN
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.