Jesse Sanders

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

265112 Issued in SC

Practice address

1898 Fort Rd
Sheridan, WY 82801-8320

Phone

(602) 717-4953

NPI assigned

Dec 23, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1861357691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BIG ROCK LAKE RD",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296719284",
            "telephone_number": "602-717-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1898 FORT RD",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828018320",
            "telephone_number": "602-717-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JESSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "265112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reasa Dawn Safford
• Angela Richelle Salyards
• Clinton Salyards
• Kara Jean Sampey, RN, BSN
• Kymberlie Mae Samson
• Michael Quintin Sanderson, M.D.
• Melony Ray Sanford, M. ED. LPCC
• Sara Medeical Supplies
• Kelly Elizabeth Saur, PCSW
• Marisa Scalise, RN

• Registered Nurse in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Registered Nurse in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.