Individual provider Active NPI

Sandra Marnita McCann, BSN, RN, CCM

  • Case Management Registered Nurse
  • Hampton, VA
National Provider Identifier
1679378822
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
604739 Issued in VA
Practice address
77 Nealy Ave
Medical Case Management -SGHM
Hampton, VA 23665-2080
Phone
(757) 225-6732
Fax
(757) 764-0968
NPI assigned
Feb 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 604739 VA Primary

Addresses

Primary practice location

77 Nealy Ave
Medical Case Management -SGHM
Hampton, VA 23665-2080

Mailing address

703 Milford Ave
Hampton, VA 23661-1141
Phone (757) 880-4294

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
604739VAMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1679378822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MILFORD AVE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236611141",
            "telephone_number": "757-880-4294",
            "fax_number": "757-764-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NEALY AVE",
            "address_2": "MEDICAL CASE MANAGEMENT -SGHM",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236652080",
            "telephone_number": "757-225-6732",
            "fax_number": "757-764-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "SANDRA",
        "middle_name": "MARNITA",
        "credential": "BSN, RN, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "VA",
            "license": "604739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.