Sandra Gayle Hamilton, CFNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R40090 Issued in NM

Practice address

630 Paseo del Pueblo Sur
Suite 150
Taos, NM 87571-6070

Phone

(575) 758-3005

Fax

(575) 758-7010

NPI assigned

Apr 28, 2006

Reactivated

Aug 3, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1891752192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PASEO DEL PUEBLO SUR",
            "address_2": "SUITE 150",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716070",
            "telephone_number": "575-758-3005",
            "fax_number": "575-758-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PASEO DEL PUEBLO SUR",
            "address_2": "SUITE 150",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716070",
            "telephone_number": "575-758-3005",
            "fax_number": "575-758-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "SANDRA",
        "middle_name": "GAYLE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2014-09-22",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R40090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Fritz Hahn, LISW
• Marcus Anthony Hall
• Stephanie Rachel Hall, CASE MANAGER
• Don Hallmark, R.PH.
• Ramon Alexander Hamilton, DPT
• Willard Jeffrey Hammerman, DDS, MAGD
• Kim J Hamstra, MA LPCC
• Hanger Prosthetics & Orthotics West, Inc.
• Timothy Hanna, CCS
• Naomi Hannah, CNM

• Registered Nurse in Taos, NM
• Providers in Taos, NM by specialty
• Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.