Individual provider Active NPI

Sandra Theresa Pabst, RN

  • Case Management Registered Nurse
  • Havre de Grace, MD
National Provider Identifier
1942822929
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
R060225 Issued in MD
Practice address
305 Tecumseh Way
Havre de Grace, MD 21078-2870
Phone
(443) 756-9999
NPI assigned
May 12, 2020
Last updated
May 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X R060225 MD Primary

Addresses

Primary practice location

305 Tecumseh Way
Havre de Grace, MD 21078-2870

Mailing address

305 Tecumseh Way
Havre de Grace, MD 21078-2870
Phone (443) 756-9999

Other identifiers 1

IdentifierTypeStateIssuer
R060225OtherMDRN

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R060225MDMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1942822929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 TECUMSEH WAY",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782870",
            "telephone_number": "443-756-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 TECUMSEH WAY",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782870",
            "telephone_number": "443-756-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABST",
        "first_name": "SANDRA",
        "middle_name": "THERESA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MD",
            "license": "R060225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "R060225",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.