Sandra Anderson Walker, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

236180-1 Issued in NY

Practice address

68 Central Ave
Port Jefferson Station, NY 11776-3016

Phone

(631) 681-8475

NPI assigned

Sep 22, 2010

Last updated

Sep 22, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1659689735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CENTRAL AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763016",
            "telephone_number": "631-681-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CENTRAL AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763016",
            "telephone_number": "631-681-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON WALKER",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "236180-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Alt
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• General Practice Registered Nurse in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• General Practice Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.