Marie Sandusky, RN, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A01089 ANP Issued in AR

Practice address

2801 S University Ave
DSC 102
Little Rock, AR 72204-1000

Phone

(501) 569-3188

Fax

(501) 683-7654

NPI assigned

Dec 14, 2007

Last updated

Apr 16, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Arkansas Little Rock

  dba UALR Health Services

  • Student Health Clinic/Center
  • Little Rock, AR
  • NPI 1346676699
  Authorized official Same address or phone

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1548443393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 S UNIVERSITY AVE",
            "address_2": "DSC 102",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041000",
            "telephone_number": "501-569-3188",
            "fax_number": "501-683-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S UNIVERSITY AVE",
            "address_2": "DSC 102",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041000",
            "telephone_number": "501-569-3188",
            "fax_number": "501-683-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDUSKY",
        "first_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN, APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A01089 ANP",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AR",
            "license": "R28118",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN",
            "identifier": "A01089 ANP",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Thomas Sandlin, M.D.
• Kimberley Sandlin, MHPP
• Lucas C Sandlin, LPC
• Melanie Michelle Sandlin
• Zsolt F Sandor, MD
• Breck Sandvall, M.D.
• Joseph Sanford Jr., M.D.
• Thomas R Sanford, M.D.
• Alexis Falon Sanghera, PROVISIONAL LMSW
• Alexandra Blue Sanroma, PA-C

• Family Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.