Individual provider Active NPI

Sandra Lenette Walker-Lee, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Spencer, IA
National Provider Identifier
1912338633
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G163036 Issued in IA
Practice address
201 E 11TH St
Spencer, IA 51301-4460
Phone
(712) 262-2922
NPI assigned
Dec 5, 2013
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202107793NP-PP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G163036 IA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61428276 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP8672 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1098175 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9448125 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN162692 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024186961 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 33797 TN

Addresses

Primary practice location

201 E 11TH St
Spencer, IA 51301-4460

Mailing address

201 E 11TH St
Spencer, IA 51301-4460
Phone (712) 262-2922

Other practice location 1

1075 E Fort Lowell Rd
CODAC at Cobblestone Court
Tucson, AZ 85719-2159
Phone (520) 202-1960 ext. 6007

Other practice location 2

2634 Capital Cir NE
Tallahassee, FL 32308-4106
Phone (850) 523-3333

Other names 1

  • Mrs. Sandra Lenette Walker-Anderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170330002373 FL Practitioner - Nurse Practitioner 0446483879 Reassigns benefits to 1 organization
I20230628000217 WA Practitioner - Nurse Practitioner 0446483879 Reassigns benefits to 1 organization
I20231127000897 TX Practitioner - Nurse Practitioner 0446483879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32211
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
33797TNMDPharmacist
APRN9448125FLMDPsychiatric/Mental Health Nurse Practitioner
G163036IAMDPsychiatric/Mental Health Nurse Practitioner
0024186961VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Health, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Olympic Peninsula Health Services CurrentSince Jun 1, 2023 Accepting new patients
Brightside Medical, P.C. CurrentSince Oct 1, 2023 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

6501 Arlington Expy
Ste B105
Jacksonville, FL 32211
Phone (904) 302-9355

8913 Town and Country Cir
Knoxville, TN 37923
Phone (253) 861-0739

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

3804 Wilson Blvd
#1318
Arlington, VA 22203

661 Ness Corner Rd
Port Hadlock, WA 98339
Phone (360) 912-5777

Interoperability endpoints

  • Direct secure messaging: sandra.walker-lee.1@24287.direct.athenahealth.com

Organizations & group practices 3

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": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1912338633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 11TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014460",
            "telephone_number": "712-262-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 11TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014460",
            "telephone_number": "712-262-2922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 E Fort Lowell Rd",
            "address_2": "CODAC at Cobblestone Court",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857192159",
            "country_code": "US",
            "telephone_number": "520-202-1960 x6007",
            "fax_number": "520-622-5358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2634 Capital Cir NE",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084106",
            "country_code": "US",
            "telephone_number": "850-523-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER-LEE",
        "first_name": "SANDRA",
        "middle_name": "LENETTE",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202107793NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G163036",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61428276",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP8672",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1098175",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9448125",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN162692",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024186961",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "33797",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "WALKER-ANDERSON",
            "middle_name": "LENETTE",
            "prefix": "MRS.",
            "credential": "APRN-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spencer, IA

Sources for this page

Verify at the official NPI Registry.