Active NPI
Sarah D'Andrea, R.T.
- Mammography Radiologic Technologist
- Tacoma, WA
National Provider Identifier
1710439658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mammography Radiologic Technologist
- License
- 382669
- Practice address
- Madigan Army Medical Ctr
9040 Jackson Ave
Tacoma, WA 98431-1100 - Phone
- (253) 968-2208
- NPI assigned
- Oct 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mammography Radiologic Technologist | 2471M2300X | 382669 | MN | Primary |
Addresses
Primary practice location
Madigan Army Medical Ctr
9040 Jackson Ave
Tacoma, WA 98431-1100
Mailing address
Madigan Army Medical Ctr
9040 Jackson Ave
Tacoma, WA 98431-1100
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
| License | State | Type | Specialty |
|---|---|---|---|
| 382669 | MN | MD | Mammography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1710439658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CTR",
"address_2": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CTR",
"address_2": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311100",
"telephone_number": "253-968-2208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'ANDREA",
"first_name": "SARAH",
"credential": "R.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-26",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "2471M2300X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Mammography",
"state": "MN",
"license": "382669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.