Active NPI
Sharon Foster Sanders
- Nurse's Aide
- Blythewood, SC
National Provider Identifier
1902050362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 7783E
- Practice address
- 200 Claude Bundrick Rd
Blythewood, SC 29016-9420 - Phone
- (803) 754-5478
- Fax
- (803) 754-9644
- NPI assigned
- Nov 12, 2008
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 7783E | SC | Primary |
Addresses
Primary practice location
200 Claude Bundrick Rd
Blythewood, SC 29016-9420
Mailing address
1500 Boney Rd
Ridgeway, SC 29130-9353
Phone (803) 605-0043
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 |
|---|---|---|---|
| 7783E | SC | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226448000000",
"number": "1902050362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 BONEY RD",
"city": "RIDGEWAY",
"state": "SC",
"postal_code": "291309353",
"telephone_number": "803-605-0043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CLAUDE BUNDRICK RD",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290169420",
"telephone_number": "803-754-5478",
"fax_number": "803-754-9644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "SHARON",
"middle_name": "FOSTER",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-12",
"last_updated": "2008-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "SC",
"license": "7783E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blythewood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.