Sandra Dinwiddie

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SANDRA DINWIDDIE

Practice address

20823 N Cave Creek Rd Ste 103
Phoenix, AZ 85024-4469

Phone

(623) 439-5585

Fax

(623) 439-7775

NPI assigned

Aug 13, 2020

Organization subpart

No

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

Authorized official

Name

Sandra Nicole DinwiddieNPI 1326581547

Title

Owner

Phone

(623) 439-5585

Specialties & licenses 4

Addresses

Other names 1

• NP Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Nicole Dinwiddie, A-GNP

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1326581547

  Pain Management

  Medicare reassignment Care Compare group NPD Authorized official
• Bonne Lynn Capossela, NP-C

  • Nurse Practitioner
  • Sun City, AZ
  • NPI 1275094963
  Medicare reassignment Care Compare group NPD
• Jamira Nicole Edwards

  • Adult Health Nurse Practitioner
  • Mobile, AL
  • NPI 1700334711

  AZ

  Medicare reassignment Care Compare group NPD
• Shirlee Mae Artis, FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
  • NPI 1760264436
  Medicare reassignment NPD

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1720699788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20823 N CAVE CREEK RD STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244469",
            "telephone_number": "623-439-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20823 N CAVE CREEK RD STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244469",
            "telephone_number": "623-439-5585",
            "fax_number": "623-439-7775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3120 W Carefree Hwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850863202",
            "country_code": "US",
            "telephone_number": "623-439-5585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17570 N 75th Ave Ste 142",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853085999",
            "country_code": "US",
            "telephone_number": "623-439-5585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANDRA DINWIDDIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "DINWIDDIE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-439-5585"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Pain Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NP Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Dawn Sandoval, M.D.
• Rene Sandoval, BCBA
• Ruby N/a Sandoval
• Vanessa Sandoval, BH
• Deanna Sandquist
• Sandra Joly
• Serge N Sandrali
• Lisa M Sandre
• Sandstone Medical Alliance LLC
• Jennifer Sandstrom

• Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.