Active NPI
Sandra Marie Altenbach, FNP
- Family Nurse Practitioner
- Rosedale, VA
National Provider Identifier
1902862923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024165089
- Practice address
- 17786 US Hway 19
Rosedale, VA 24280 - Phone
- (276) 880-3133
- NPI assigned
- Apr 26, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024165089 | VA | Primary |
Addresses
Primary practice location
17786 US Hway 19
Rosedale, VA 24280
Mailing address
142 Highland Drive
Community Medical Care
Lebanon, VA 24266
Phone (276) 889-0433
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024165089 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Care Associates | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/17156/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Lebanon, VA
- NPI 1891885273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422576000000",
"number": "1902862923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 HIGHLAND DRIVE",
"address_2": "COMMUNITY MEDICAL CARE",
"city": "LEBANON",
"state": "VA",
"postal_code": "24266",
"telephone_number": "276-889-0433",
"fax_number": "276-889-5537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17786 US HWAY 19",
"city": "ROSEDALE",
"state": "VA",
"postal_code": "24280",
"telephone_number": "276-880-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTENBACH",
"first_name": "SANDRA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2015-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024165089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosedale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.