Jennifer M Sanderford, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

38507 Issued in CO

Practice address

419 6TH Street
Suite 202
Crested Butte, CA 81224

Phone

(970) 349-3333

Fax

(844) 278-8636

NPI assigned

Aug 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer Bruce Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: jsanderford@3ef34f84.micromddirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crested Butte Pediatrics Prof LLC

  • Pediatrics Physician
  • Crested Butte, CO
  • NPI 1992235873
  NPD (past) Authorized official

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1750382149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 167",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812240167",
            "telephone_number": "970-349-3333",
            "fax_number": "844-278-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 6TH STREET",
            "address_2": "SUITE 202",
            "city": "CRESTED BUTTE",
            "state": "CA",
            "postal_code": "81224",
            "telephone_number": "970-349-3333",
            "fax_number": "844-278-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERFORD",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "38507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14857804",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BRUCE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chelsea Raye Stangl, DMD

• Pediatrics Physician in Crested Butte, CA
• Providers in Crested Butte, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.