Individual provider Active NPI

Sandra Lee Seefeldt, RNC APNP

  • Nurse Practitioner
  • Eau Claire, WI
National Provider Identifier
1679669659
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APNP 599033 Issued in WI
Practice address
Student Health Service Uw Eau Claire
Crest Wellness Center
Eau Claire, WI 54701
Phone
(715) 836-4311
Fax
(715) 836-5979
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APNP 599033 WI Primary

Addresses

Primary practice location

Student Health Service Uw Eau Claire
Crest Wellness Center
Eau Claire, WI 54701

Mailing address

1409 Hogeboom Avenue
Eau Claire, WI 54701
Phone (715) 832-9945

Other names 1

  • Miss Sandra Lee Dahl Other name

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

State licenses

LicenseStateTypeSpecialty
APNP 599033WIMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679669659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 HOGEBOOM AVENUE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-832-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STUDENT HEALTH SERVICE UW EAU CLAIRE",
            "address_2": "CREST WELLNESS CENTER",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-836-4311",
            "fax_number": "715-836-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEFELDT",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "RNC APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "APNP 599033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "DAHL",
            "middle_name": "LEE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

  • 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.