Individual provider Active NPI

Sandra Lee Hoerr, DNP, CPNP

  • Pediatric Nurse Practitioner
  • Bel Air, MD
National Provider Identifier
1639721152
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R198025 Issued in MD
Practice address
602 S Atwood Road
Suite 104
Bel Air, MD 21014
Phone
(410) 838-9555
Fax
(410) 836-5056
NPI assigned
Jul 15, 2019
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R198025 MD Primary

Addresses

Primary practice location

602 S Atwood Road
Suite 104
Bel Air, MD 21014

Mailing address

602 S Atwood Road
Suite 104
Bel Air, MD 21014
Phone (410) 838-9555

Other identifiers 2

IdentifierTypeStateIssuer
R198025OtherMDNP LICENSE
199LI11QMedicaidMD

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
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R198025MDMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gomez Yim & Rastogi, M.D., P.a. PastSince Nov 17, 2024 Accepting new patients
Gomez Yim & Rastogi, M.D., P.a. PastSince Jul 25, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shoerr@gyrpediatrics.opdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1639721152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S ATWOOD ROAD",
            "address_2": "SUITE 104",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-838-9555",
            "fax_number": "410-836-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S ATWOOD ROAD",
            "address_2": "SUITE 104",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-838-9555",
            "fax_number": "410-836-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOERR",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DNP, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R198025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "R198025",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199LI11Q",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.