Sandra Ballew Sikes, RN,BSN,MN WHCNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

200550065NP Issued in OR

Practice address

3550 N Interstate Ave
Interstate Medical Office-East
Portland, OR 97227-1196

Phone

(503) 331-6283

NPI assigned

Sep 24, 2006

Last updated

Jun 28, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Sandra Kathleen Ballew Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214611200000",
    "number": "1578663142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 N INTERSTATE AVE",
            "address_2": "INTERSTATE MEDICAL OFFICE-EAST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271196",
            "telephone_number": "503-331-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 N INTERSTATE AVE",
            "address_2": "INTERSTATE MEDICAL OFFICE-EAST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271196",
            "telephone_number": "503-331-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKES",
        "first_name": "SANDRA",
        "middle_name": "BALLEW",
        "credential": "RN,BSN,MN WHCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2008-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OR",
            "license": "200550065NP",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "NP9709",
            "primary": false
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "CA",
            "license": "430476",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "BALLEW",
            "middle_name": "KATHLEEN",
            "credential": "RN,BSN,MN WHCNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Grace Sigurdsen, MSED.
• Bounnhou Bon Sihavong, PHARM.D.
• Larissa Siirila
• David A. Siker, M.D.
• Marvin Wayne Sikes, PHARM.D
• Monica Kumari Sikka, M.D.
• Darryn Marie Sikora, PHD
• Gary Michael Silberbach, MD
• Adam Philip Silberman
• Paul David Silberman

• Women's Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Women's Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.