Individual provider Active NPI

Sandra J. Sims, DNP

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1912203142
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F4438 Issued in SC
Practice address
4901 Chesapeake Dr
Charlotte, NC 28216-2905
Phone
(980) 321-3337
Fax
(855) 870-5752
NPI assigned
Feb 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F4438 SC Primary

Addresses

Primary practice location

4901 Chesapeake Dr
Charlotte, NC 28216-2905

Mailing address

4901 Chesapeake Dr.
Charlotte, NC 28216
Phone (980) 321-3337

Other names 1

  • Sandra J. Smith Former name

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

LicenseStateTypeSpecialty
F4438SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstat Inc Coca Cola Charlotte CurrentSince Jul 1, 2022 Accepting new patients

Locations

4901 Chesapeake Dr
Charlotte, NC 28216
Phone (980) 321-3337

Interoperability endpoints

  • Direct secure messaging: sandra.sims.1@14940.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1296864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1912203142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 CHESAPEAKE DR.",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28216",
            "telephone_number": "980-321-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 CHESAPEAKE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162905",
            "telephone_number": "980-321-3337",
            "fax_number": "855-870-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "SANDRA",
        "middle_name": "J.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-05",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F4438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "SMITH",
            "middle_name": "J.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.