Individual provider Active NPI

Riley Nicole Sandoz Jr., PP

  • School Social Worker
  • Mitchell, NE
National Provider Identifier
1790566800
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
Practice address
80592 Mitchell South Rd
Mitchell, NE 69357-1942
Phone
(308) 765-2041
NPI assigned
Oct 13, 2023
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X NE Primary

Addresses

Primary practice location

80592 Mitchell South Rd
Mitchell, NE 69357-1942

Mailing address

80592 Mitchell South Rd
Mitchell, NE 69357-1942
Phone (308) 765-2041

Other names 1

  • Miss Riley Nikole Sandoz Jr. Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1790566800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80592 MITCHELL SOUTH RD",
            "city": "MITCHELL",
            "state": "NE",
            "postal_code": "693571942",
            "telephone_number": "308-765-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80592 MITCHELL SOUTH RD",
            "city": "MITCHELL",
            "state": "NE",
            "postal_code": "693571942",
            "telephone_number": "308-765-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOZ",
        "first_name": "RILEY",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "name_suffix": "Jr.",
        "credential": "PP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RILEY",
            "last_name": "SANDOZ",
            "middle_name": "NIKOLE",
            "prefix": "MISS",
            "suffix": "JR.",
            "credential": "PP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mitchell, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.