Sandra J Picard, NP
Individual provider Active NPI Family Nurse Practitioner · Manchester, ME
NPI 1528034592 · NPPES record last updated Jan 15, 2013
Key facts
- NPI
- 1528034592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP81277 (ME)
- Practice address
- 8 Pond Rd
Manchester, ME 04351-3615 - Phone
- (207) 512-8780
- Fax
- (207) 623-3137
- NPI assigned
- Feb 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP81277 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthreach Community Health Centers | Past | Accepting new patients | |
| Healthreach Community Health Centers | Past | Accepting new patients | |
| Healthreach Community Health Centers | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP81277 | ME | Yes |
Addresses
Primary practice location
8 Pond Rd
Manchester, ME 04351-3615
Mailing address
31 Readfield Unit 558
Manchester, ME 04351-0558
Phone (207) 512-8780
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241890099 | Medicaid | ME |
Other providers in Manchester, ME
- James B. Newton
- Northern New England Diagnostics
- Northern New England Primary Care
- Northern New England Primary Care
- Cameron Elizabeth Osborne
- David James Pickle
- Duane Plum
- Terry Poland
- Jean Marie Pratt
- Prospect Inc.
All providers in Manchester, ME · Family Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.