Sandra Renee Elanges, DNP, FNP-BC, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704276551 Issued in MI

Practice address

148 N Saginaw St
Pontiac, MI 48342-2195

Phone

(248) 221-9656

NPI assigned

Aug 17, 2023

Last updated

Mar 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Sandra Renee Jeffreys Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1982487377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99544",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480999544",
            "telephone_number": "248-404-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 N SAGINAW ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422195",
            "telephone_number": "248-221-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELANGES",
        "first_name": "SANDRA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-BC, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704276551",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704276551",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "JEFFREYS",
            "middle_name": "RENEE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samuel Eis, DO
• Maan Ekkah
• Omar El Kateeb, DO
• Judy Nadia El-Nachef, PHARMD
• Odai El-Samawi, MD
• Leigh Ann Elceser, D.C.
• Robin L Elkus, M.D.
• Ashley Eller, PMHNP-BC
• John A. Ellis, CRNA
• Miriam Elson

• Family Nurse Practitioner in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.