Sandra Lee Golles, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP4046 Issued in CA

Practice address

1145 Whiskeytown CT
Suite a
Redding, CA 96001-0227

Phone

(530) 246-4180

Fax

(530) 242-6421

NPI assigned

Aug 22, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1679973903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 WHISKEYTOWN CT",
            "address_2": "SUITE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010227",
            "telephone_number": "530-246-4180",
            "fax_number": "530-242-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 WHISKEYTOWN CT",
            "address_2": "SUITE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010227",
            "telephone_number": "530-246-4180",
            "fax_number": "530-242-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLES",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP4046",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "NP4046",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rose Goehring, MFTI, PCCI
• Heather Gold, LCSW119180
• Susan Dian Goldberg, M.D.
• Golden Hearts Transportation
• Dee Eugene Golles, D.D.S.
• Angie Gomez Alvarez
• Vanessa Michelle Gomez
• Kaite Jolean Gonzales, SUDRC
• Elizabeth Margaret Gonzalez, RN
• Joaquin Gonzalez

• Nurse Practitioner in Redding, CA
• Providers in Redding, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.