Active NPI
Laquanda P Sanders, LPN
- Licensed Practical Nurse
- Olympia, WA
National Provider Identifier
1801443817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP60889663
- Practice address
- 2401 Bristol CT SW
Olympia, WA 98502-6003 - Phone
- (360) 751-2124
- NPI assigned
- Aug 23, 2019
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP60889663 | WA | Primary |
Addresses
Primary practice location
2401 Bristol CT SW
Olympia, WA 98502-6003
Mailing address
415 Fire Willow St NW
Olympia, WA 98502-8179
Phone (512) 992-3192
Other practice location 1
1417 San Francisco Ave NE
Olympia, WA 98506-4359
Phone (360) 596-6700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27461483 | Other | TX | DL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EC | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP60889663 | WA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590624000000",
"number": "1801443817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 FIRE WILLOW ST NW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028179",
"telephone_number": "512-992-3192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 BRISTOL CT SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985026003",
"telephone_number": "360-751-2124"
}
],
"practiceLocations": [
{
"address_1": "1417 San Francisco Ave NE",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "985064359",
"country_code": "US",
"telephone_number": "360-596-6700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERS",
"first_name": "LAQUANDA",
"middle_name": "P",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-23",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "LP60889663",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DL",
"identifier": "27461483",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EC",
"affiliation": "N",
"endpointDescription": "EC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EC",
"address_1": "2401 Bristol Ct SW",
"city": "Olympia",
"state": "WA",
"country_code": "US",
"postal_code": "985026003",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.