Active NPI
Sandra Laird, RN, ACNP
- Acute Care Nurse Practitioner
- Arlington, TX
National Provider Identifier
1710937016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 567095
- Practice address
- 3921 W Green Oaks Blvd
Suite D
Arlington, TX 76016-2764 - Phone
- (817) 496-1919
- Fax
- (817) 496-6133
- NPI assigned
- May 10, 2006
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 567095 | TX | Primary |
Addresses
Primary practice location
3921 W Green Oaks Blvd
Suite D
Arlington, TX 76016-2764
Mailing address
3921 West Green Oaks Blvd
Suite D
Arlington, TX 76016
Phone (817) 496-1919
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1167991-03 | Medicaid | TX | |
| 1167991-02 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 567095 | TX | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1710937016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3921 WEST GREEN OAKS BLVD",
"address_2": "SUITE D",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76016",
"telephone_number": "817-496-1919",
"fax_number": "817-496-6133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3921 W GREEN OAKS BLVD",
"address_2": "SUITE D",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760162764",
"telephone_number": "817-496-1919",
"fax_number": "817-496-6133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAIRD",
"first_name": "SANDRA",
"credential": "RN, ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "567095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1167991-03",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1167991-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
- Sharlyn Ann Ladner, RN,BSN,CNOR,RNFA
- Lillian Lafayette
- Sana W Laheji, PHARMD, RPH
- Josie Salibongcogon Laigo
- Frederick Charles Lair, CEAC CAPS.
- Anthony Joseph Lakatos, MD
- Lake Arlington Baptist Church (Impact Counseling & Guidance Center)
- Lake Arlington Center for Pain Management (North Texas Pain Recovery Center)
- Lake Arlington Family Medicine, P.a.
- Lake Arlington Holding Company (North Texas Pain Recovery Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.