Alisha Sandage, R.D., L.D., L.M.N.T

Primary specialty

Oncology Nutrition Registered DietitianTaxonomy code 133VN1301X

License

084092 Issued in IA

Practice address

230 Nebraska St
Sioux City, IA 51101-1733

Phone

(712) 252-9425

NPI assigned

Oct 24, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1528519683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 NEBRASKA ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011733",
            "telephone_number": "712-252-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 NEBRASKA ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011733",
            "telephone_number": "712-252-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDAGE",
        "first_name": "ALISHA",
        "credential": "R.D., L.D., L.M.N.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": "IA",
            "license": "084092",
            "primary": true
        },
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": "NE",
            "license": "1285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Samuelson, LMSW, CADC
• William Oliver Samuelson, MD
• Castelia Y Sanchez
• Hilary Nicole Sanchez, OTD,OTR/L
• Raul Sanchez, PH.D
• Genell G Sandberg, PHD
• Larissa Sands, LISW
• Madison Sands
• Sanford Clinic
• J Scott Sanford, R.PH.

• Registered Dietitian in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Registered Dietitian in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.