Susan M Sandridge

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SUSAN M SANDRIDGE

Doing business as

Visions

Practice address

1255 E Whitman
Pocatello, ID 83201-5748

Phone

(208) 233-4748

NPI assigned

May 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Susan M Sandridge, BFA

Title

Owner

Phone

(208) 233-4748

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• VISIONS Doing business as

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1801008289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 423",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832040423",
            "telephone_number": "208-233-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 E WHITMAN",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015748",
            "telephone_number": "208-233-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN M SANDRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "SANDRIDGE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-233-4748",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BFA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806009700",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806009800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Case Management Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.