Active NPI
Diane V Sandy, BA
- Case Manager/Care Coordinator
- La Crosse, WI
National Provider Identifier
1780801902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 7876-120
- Practice address
- 1407 St. Andrew St.
Suite 100
La Crosse, WI 54603-2378 - Phone
- (608) 785-5837
- NPI assigned
- Apr 19, 2007
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 7876-120 | WI | Primary |
Addresses
Primary practice location
1407 St. Andrew St.
Suite 100
La Crosse, WI 54603-2378
Mailing address
931 Oak Ave. N.
Onalaska, WI 54650
Phone (608) 779-5239
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7876-120 | WI | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780801902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 OAK AVE. N.",
"city": "ONALASKA",
"state": "WI",
"postal_code": "54650",
"telephone_number": "608-779-5239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 ST. ANDREW ST.",
"address_2": "SUITE 100",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546032378",
"telephone_number": "608-785-5837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDY",
"first_name": "DIANE",
"middle_name": "V",
"name_prefix": "Ms.",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WI",
"license": "7876-120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Crosse, WI
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.