Sandy Heidel Bocklud, NNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

1095084 Issued in TX

Practice address

18951 N Memorial Dr
Humble, TX 77338-4217

Phone

(281) 540-7806

NPI assigned

Nov 23, 2011

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

Enrolled in LA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sbocklud32663@mlh.direct-ci.com

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

• Florida Hospital Medical Group Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1225034234
  Medicare reassignment NPD
• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222
  Medicare reassignment NPD
• University Health Shreveport LLC

  dba Ochsner LSU Health Shreveport

  • Nurse Practitioner
  • Shreveport, LA
  • NPI 1619443611
  Medicare reassignment NPD
• Florida Hospital Medical Group Inc

  dba Rothman Orthopaedics AdventHealth Medical Group at Minneola

  • Prosthetic/Orthotic Supplier
  • Minneola, FL
  • NPI 1285591545
  NPD
• University Health Shreveport LLC

  dba Ochsner LSU Health Shreveport

  • Certified Registered Nurse Anesthetist
  • Shreveport, LA
  • NPI 1629544622
  NPD

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1548537269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 DELTA DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704487570",
            "telephone_number": "985-789-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18951 N MEMORIAL DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384217",
            "telephone_number": "281-540-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKLUD",
        "first_name": "SANDY",
        "middle_name": "HEIDEL",
        "name_prefix": "Mrs.",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "TX",
            "license": "1095084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latonya Danielle Blount, BS, MS-CMHC
• Blueventra LLC
• Blueventra LLC
• Kimbria Nicole Blunt, FNP-BC
• BNN Anesthesia PLLC
• Alexis Latreese Boddie, NP
• Travis Bodeker, DPM
• Body and Mind Renewal HTX
• Robert Eli Bolden
• Airaneeja Bolds

• Neonatal Nurse Practitioner in Humble, TX
• Providers in Humble, TX by specialty
• Neonatal Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.