Active NPI
Scott Sandberg, RN
- Home Health Clinical Nurse Specialist
- Vancouver, WA
National Provider Identifier
1609742873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Clinical Nurse Specialist
- License
- RN60385270
- Practice address
- 5802 NE 52ND Cir
Vancouver, WA 98661-2410 - Phone
- (503) 729-3545
- NPI assigned
- Oct 15, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Clinical Nurse Specialist | 364SH0200X | RN60385270 | WA | Primary |
Addresses
Primary practice location
5802 NE 52ND Cir
Vancouver, WA 98661-2410
Mailing address
5802 NE 52ND Cir
Vancouver, WA 98661-2410
Phone (503) 729-3545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60385270 | WA | MD | Home Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1609742873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5802 NE 52ND CIR",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986612410",
"telephone_number": "503-729-3545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5802 NE 52ND CIR",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986612410",
"telephone_number": "503-729-3545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDBERG",
"first_name": "SCOTT",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-15",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "364SH0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Home Health",
"state": "WA",
"license": "RN60385270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.