Active NPI
Martha Ann Sanderlin, PH.D.
- Addiction (Substance Use Disorder) Counselor
- Tacoma, WA
National Provider Identifier
1730292947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- NOT LICENSED
- Practice address
- VA Puget Sound HCS
American Lake VA, BLDG. 61C
Tacoma, WA 98493-0001 - Phone
- (253) 582-8440
- Fax
- (253) 589-4136
- NPI assigned
- Aug 15, 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NOT LICENSED | Primary |
Addresses
Primary practice location
VA Puget Sound HCS
American Lake VA, BLDG. 61C
Tacoma, WA 98493-0001
Mailing address
1443 Thompson Cir
Dupont, WA 98327-9722
Phone (253) 582-8440
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730292947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1443 THOMPSON CIR",
"city": "DUPONT",
"state": "WA",
"postal_code": "983279722",
"telephone_number": "253-582-8440",
"fax_number": "253-589-4136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA PUGET SOUND HCS",
"address_2": "AMERICAN LAKE VA, BLDG. 61C",
"city": "TACOMA",
"state": "WA",
"postal_code": "984930001",
"telephone_number": "253-582-8440",
"fax_number": "253-589-4136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERLIN",
"first_name": "MARTHA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": "NOT LICENSED",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.