Randy L Sandaine, N.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

NT00000717 Issued in WA

Practice address

234 N Oak St
Colville, WA 99114-2948

Phone

(509) 684-1104

NPI assigned

Jan 30, 2007

Sex

Male

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

State licenses

Practice roles

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.

• Colville Naturopathic Clinic P.S.

  • Clinic/Center
  • Colville, WA
  • NPI 1710408125
  NPD (past) Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669518114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 N OAK ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142948",
            "telephone_number": "509-684-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 N OAK ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142948",
            "telephone_number": "509-684-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDAINE",
        "first_name": "RANDY",
        "middle_name": "L",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "NT00000717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charity Sager
• Helen Mary Salapka, PT
• Salt & Sea Spa
• Lorrie Laray Sampson, RN
• Lorie Carnie Sandaine
• Renee Saxon, RPH
• Shannon Scamahorn, LMP
• Kerry A Schafer, LMHC
• Gracie K Schauls
• Rebekah Schellenberg, PMHNP-BC

• General Practice Physician in Colville, WA
• Providers in Colville, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.