Individual provider Active NPI

Sandra R Christmas, FNP

  • Family Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1649409871
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R723835 Issued in MS
Practice address
1500 E Woodrow Wilson Drive
Jackson, MS 39216-5199
Phone
(601) 362-4471
NPI assigned
Jul 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R723835 MS Primary

Addresses

Primary practice location

1500 E Woodrow Wilson Drive
Jackson, MS 39216-5199

Mailing address

558 Greenmont Dr
Jackson, MS 39212-2226
Phone (601) 502-2733

Other names 1

  • Sandra R Sutton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110128000657 MS Practitioner - Nurse Practitioner 0547449068 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jan 27, 2025 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Jan 27, 2025 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
University Physicians, PLLC Past Accepting new patients

Locations

2500 N State St
Uppr
Jackson, MS 39216

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1649409871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 GREENMONT DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392122226",
            "telephone_number": "601-502-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E WOODROW WILSON DRIVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165199",
            "telephone_number": "601-362-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTMAS",
        "first_name": "SANDRA",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R723835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "SUTTON",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.