Individual provider Active NPI

Joanne Sandberg-Cook, APRN

  • Adult Health Nurse Practitioner
  • Hanover, NH
National Provider Identifier
1972523868
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
04072723 Issued in NH
Practice address
80 Lyme Rd
Hanover, NH 03755-1225
Phone
(603) 653-8525
Fax
(603) 653-8697
NPI assigned
Jul 20, 2006
Last updated
Dec 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 04072723 NH Primary

Addresses

Primary practice location

80 Lyme Rd
Hanover, NH 03755-1225

Mailing address

80 Lyme Rd
Hanover, NH 03755-1225
Phone (603) 653-8525

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

LicenseStateTypeSpecialty
04072723NHMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1972523868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 LYME RD",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551225",
            "telephone_number": "603-653-8525",
            "fax_number": "603-653-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LYME RD",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551225",
            "telephone_number": "603-653-8525",
            "fax_number": "603-653-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG-COOK",
        "first_name": "JOANNE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NH",
            "license": "04072723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.