Sandra Lee Knowles, DNP, APRN, BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

49008288900 Issued in UT

Practice address

881 W. State Street
Suite 140-429
Pleasant Grove, UT 84062-6200

Phone

(801) 615-0699

Fax

(801) 367-7678

NPI assigned

Jul 5, 2006

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 names 1

• Mrs. Sandra Lee Perkins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Intercare LLC

  • Psychiatry Physician
  • Orem, UT
  • NPI 1790077642
  NPD (past)
• Psychiatry Consulting & Research, LLC

  • Psychiatry Physician
  • Salt Lake City, UT
  • NPI 1487961793
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1790716033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 W. STATE STREET",
            "address_2": "SUITE 140-429",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840626200",
            "telephone_number": "801-615-0699",
            "fax_number": "801-367-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 W. STATE STREET",
            "address_2": "SUITE 140-429",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840626200",
            "telephone_number": "801-615-0699",
            "fax_number": "801-367-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "49008288900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "PERKINS",
            "middle_name": "LEE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexis Kempner
• Ket Chiropractic, LLC
• Marni Klienman
• Jacob Knapton, DC
• Brett Kelsey Knorr, M.D.
• Oaklee Ann Kotter, CSW
• Jaron Krebs
• Bryan Kubricht
• Dawn Lanier
• Abby Grace Larsen

• Psychiatric/Mental Health Nurse Practitioner in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.