Sandra Joder, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4863595-4405 Issued in UT

Practice address

1500 Kearns Blvd Ste E125
Park City, UT 84060-7576

Phone

(801) 347-9651

NPI assigned

Sep 13, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sandra.joder.1@27548.direct.athenahealth.com

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.

• Gregory Iverson Family Medicine PLLC

  dba Coalville Health Center

  • Rural Health Clinic/Center
  • Coalville, UT
  • NPI 1720379936
  NPD (past)

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1962239053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 983031",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840983031",
            "telephone_number": "801-347-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 KEARNS BLVD STE E125",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607576",
            "telephone_number": "801-347-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JODER",
        "first_name": "SANDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "4863595-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasima Reynolds
• Kara Lynne Jensen
• Jeremy Ranch Dental Center (Albion Dental Center)
• Jessica Dawn Jewell, M.S.
• Sheetal Yogesh Jhaveri, DPT
• Alyssa Hitch Johnson, L.AC
• Catania Johnson, ACMHC, NCC
• Jill Elyse Johnson
• Kelli Vargas Johnson, ATC
• Kent Max Johnson, DDS

• Family Nurse Practitioner in Park City, UT
• Providers in Park City, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.