Individual provider Active NPI

Susan Denise Sanchez, PMHNP, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Central Point, OR
National Provider Identifier
1619634383
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
202113272NP-PP Issued in OR
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

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
202113272NPORMDPsychiatry Physician
202113272NP-PPORMDPsychiatric/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.

Verify at the official NPI Registry.