Sandra Nelson Woolstenhulme, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

65101 Issued in ID

Practice address

120 E Howard St
Driggs, ID 83422-5112

Phone

(208) 354-2383

NPI assigned

Jul 10, 2020

Last updated

Jul 10, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Idaho State UniversityGroup PAC ID 4688683030, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Idaho State University

  dba Idaho State University Speech & Hearing Clinic

  • Audiologist
  • Pocatello, ID
  • NPI 1952474777
  Medicare reassignment Care Compare group NPD
• Teton Valley Health Care Inc

  dba Driggs Clinic

  • Rural Health Clinic/Center
  • Driggs, ID
  • NPI 1013264183
  Medicare reassignment
• Idaho State University

  • Community/Retail Pharmacy
  • McCammon, ID
  • NPI 1083393284
  NPD
• Idaho State University

  dba ISU Nutrition Clinic

  • Nutrition Education Nutritionist
  • Meridian, ID
  • NPI 1487245122
  NPD
• Idaho State University

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Meridian, ID
  • NPI 1366033094
  NPD (past)
• Idaho State University

  • Primary Care Nurse Practitioner
  • Meridian, ID
  • NPI 1962095711
  NPD (past)

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1619595071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 APPALOOSA TRL",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225122",
            "telephone_number": "208-399-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E HOWARD ST",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225112",
            "telephone_number": "208-354-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLSTENHULME",
        "first_name": "SANDRA",
        "middle_name": "NELSON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "65101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Andrews Weis, PSY.D.
• Troy D Weston, PA
• Eliza Marguerite Whatley Martin, O.D.
• Debra M Whipple, FNP-BC
• Brianna Moore Wimberg
• Barbara Marie Zimmer, CRNA

• Family Nurse Practitioner in Driggs, ID
• Providers in Driggs, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.