Sandra Gail Kolb Family Practice

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SANDRA GAIL KOLB FAMILY PRACTICE

Practice address

138 Hunter Cir
Fayetteville, NC 28304-3422

Phone

(910) 339-4674

Fax

(910) 339-4676

NPI assigned

Oct 18, 2022

Last updated

Oct 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra Kolb, NP-CNPI 1790452076

Title

Provider

Phone

(910) 339-4674

Specialties & licenses 1

Addresses

Other names 1

• Indian Creek Health Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Kolb, NP

  • Family Nurse Practitioner
  • Fayetteville, NC
  • NPI 1790452076
  NPD Authorized official

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1710603014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 HUNTER CIR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043422",
            "telephone_number": "910-339-4674",
            "fax_number": "910-339-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 HUNTER CIR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043422",
            "telephone_number": "910-339-4674",
            "fax_number": "910-339-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA GAIL KOLB FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "KOLB",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "910-339-4674",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian Creek Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sandhills Medical Care Center, PLLC
• Sandhills Nephrology and Internal Medicine, P.a.
• Sandhills Orthotics, LLC (Sandhills Orthotics & Prosthetics)
• Sandhills Physician of Mental Health Clinic, PLLC
• Sandhills Womancare PA
• Samantha Neevie Sands, CNM
• Kothai Divya Guruswamy Sangameswaran, MD
• Sirisha Sangavaram, M.D.
• Shireesha Sangineni, MD
• Hemanth Srivatsava Reddy Sanjamala

• Primary Care Clinic/Center in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.