Sandra Hill

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

0024179104 Issued in VA

Practice address

500 Folar Drive
North Prince George, VA 23860

Phone

(804) 524-6600

NPI assigned

Jun 26, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Revive Infusion Bar

  • Infusion Therapy Clinic/Center
  • Mechanicsville, VA
  • NPI 1174374276
  NPD Authorized official

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647129600000",
    "number": "1861019754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8589 ANDERSON CT APT SUITE",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163101",
            "telephone_number": "804-387-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FOLAR DRIVE",
            "city": "NORTH PRINCE GEORGE",
            "state": "VA",
            "postal_code": "23860",
            "telephone_number": "804-524-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "SANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2022-03-13",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024179104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861019754",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000000",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Follow Your Heart
• Chris Gollub
• Sangok Gollub
• Anjelica Dee Harris, LMT
• Robin Heilbrun, R.PH.
• Rakera Shunay Jackson
• Kayandbcaresllc
• Dominque J Knight, PHARM.D.
• Kandise Lucas, B.A, MSED, PHD
• Merciful Reflections Counseling Services, LLC

• Acute Care Nurse Practitioner in North Prince George, VA
• Providers in North Prince George, VA by specialty
• Acute Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2022; 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.