Active NPI
Susan Denise Sanchez, PMHNP, DNP
- Psychiatric/Mental Health Nurse Practitioner
- Central Point, OR
National Provider Identifier
1619634383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 202113272NP-PP
- Practice address
- 312 Oak St Ste 205
Central Point, OR 97502-2542 - Phone
- (541) 787-2997
- NPI assigned
- Nov 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 202113272NP | OR | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 202113272NP-PP | OR | Primary |
Addresses
Primary practice location
312 Oak St Ste 205
Central Point, OR 97502-2542
Mailing address
312 Oak St Ste 205
Central Point, OR 97502-2542
Phone (541) 787-2997
Other practice location 1
328 S Central Ave Ste 206
Medford, OR 97501-7274
Phone (541) 787-2997
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202113272NP | OR | MD | Psychiatry Physician |
| 202113272NP-PP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1619634383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 OAK ST STE 205",
"city": "CENTRAL POINT",
"state": "OR",
"postal_code": "975022542",
"telephone_number": "541-787-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 OAK ST STE 205",
"city": "CENTRAL POINT",
"state": "OR",
"postal_code": "975022542",
"telephone_number": "541-787-2997"
}
],
"practiceLocations": [
{
"address_1": "328 S Central Ave Ste 206",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975017274",
"country_code": "US",
"telephone_number": "541-787-2997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANCHEZ",
"first_name": "SUSAN",
"middle_name": "DENISE",
"credential": "PMHNP, DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-17",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "202113272NP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "202113272NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Central Point, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.