Sandra Lee McCormack, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

02004921 Issued in NH

Practice address

100 Griffin Rd
Suite a
Portsmouth, NH 03801-7113

Phone

(603) 436-7897

Fax

(603) 433-1985

NPI assigned

Dec 15, 2005

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 identifiers 3

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.

• Allergy Associates of NH PA

  • Allergy Physician
  • Portsmouth, NH
  • NPI 1841479532
  NPD (past)
• Appledore Medical Group, Inc

  • Internal Medicine Physician
  • Portsmouth, NH
  • NPI 1720077167
  NPD (past)

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1841276565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GREAT HILL WAY",
            "city": "ELIOT",
            "state": "ME",
            "postal_code": "039031618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRIFFIN RD",
            "address_2": "SUITE A",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017113",
            "telephone_number": "603-436-7897",
            "fax_number": "603-433-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "02004921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30346941",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3083632",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01011563",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melisssa M McCarthy, BCBA
• Elisabeth McCartin
• Meghan Kelley McCaskey, MD
• Michael G. McCay, MS, MFT
• Caitlyn McCormack
• Thomas McCormack, LICSW
• Caitlin McCoy, BSW
• Mary McCrae, PH.D
• Casey Rian McDaniel, BCBA
• Ellen Judith McFarland, MS, NCC, LCMHC

• Family Nurse Practitioner in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.