Sandra Ford, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

43539 Issued in SC

Practice address

3512 Sumpter Rd
Loris, SC 29569-8533

Phone

(843) 915-8803

Fax

(843) 915-6506

NPI assigned

Apr 22, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1780004457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 SUMPTER RD",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295698533",
            "telephone_number": "843-915-8803",
            "fax_number": "843-915-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 SUMPTER RD",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295698533",
            "telephone_number": "843-915-8803",
            "fax_number": "843-915-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "SANDRA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "SC",
            "license": "43539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Esper, CRNA
• Evolve 365 LLC
• Faithful Steps Counseling Services
• Deanna L Fisher, CDR
• Lillian Fong, MD
• Sheri Ford
• David Edward Garces, MD
• Gary J Barrett MD PA
• Gateway Drug Store, Inc.
• Tamara Geralds

• All providers in Loris, SC
• Community Health Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.