Sandra Sloane Blix, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704176326 Issued in MI

Practice address

31 N Saint Joseph Ave
Niles, MI 49120-2207

Phone

(269) 687-1879

Fax

(269) 683-0104

NPI assigned

Feb 22, 2006

Last updated

Dec 10, 2019By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeshore Anesthesia Staffing LLCGroup PAC ID 7416242946, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Lakeshore Anesthesia Staffing LLC

  • Certified Registered Nurse Anesthetist
  • Saint Joseph, MI
  • NPI 1255781019

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Professional Services PC

  • Certified Registered Nurse Anesthetist
  • Monroe, MI
  • NPI 1750304622

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Lakeland Hospitals at Niles and St Joseph, Inc

  dba Corewell Health Lakeland Hospitals

  • General Acute Care Hospital
  • Saint Joseph, MI
  • NPI 1134220031
  Medicare reassignment NPD
• Sparrow Eaton Hospital

  dba University of Michigan Health-Sparrow Charlotte Orthopedics

  • Orthopaedic Surgery Physician
  • Charlotte, MI
  • NPI 1043419427
  Medicare reassignment NPD
• Lakeland Hospitals at Niles and St Joseph, Inc

  dba Corewell Health Lakeland Hospitals (MDPP)

  • Community Health Clinic/Center
  • Saint Joseph, MI
  • NPI 1184513731
  NPD
• Lakeland Hospitals at Niles and St Joseph, Inc

  dba Spectrum Health Lakeland Anesthesia

  • Anesthesiology Physician
  • Saint Joseph, MI
  • NPI 1598305641

  Nurse Anesthetist, Certified Registered

  NPD
• Pathology Assoc of Southwestern Michigan, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Saint Joseph, MI
  • NPI 1043228786
  NPD
• Sparrow Eaton Hospital

  dba East Lansing Public Schools Health Center

  • School Nurse Practitioner
  • East Lansing, MI
  • NPI 1063227486
  NPD
• Sparrow Eaton Hospital

  dba University of Michigan Health-Sparrow Eaton Anesthesia

  • Anesthesiology Physician
  • Charlotte, MI
  • NPI 1548439110
  NPD
• Great Lakes Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Saint Joseph, MI
  • NPI 1003273129
  NPD (past)
• Kalamazoo Anesthesiology P C

  • Anesthesiology Physician
  • Kalamazoo, MI
  • NPI 1407821796
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1982679080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 N SAINT JOSEPH AVE",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202207",
            "telephone_number": "269-687-1879",
            "fax_number": "269-683-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 N SAINT JOSEPH AVE",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202207",
            "telephone_number": "269-687-1879",
            "fax_number": "269-683-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIX",
        "first_name": "SANDRA",
        "middle_name": "SLOANE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704176326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4299414",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berrien Mental Health Authority (Riverwood Center)
• Better Together Birth Services
• Sarah Elizabeth Biddle
• Renee Denise Binns, RDH
• Blessed Home Afc Services, LLC
• Danisha Blythe
• Alexis Bock
• Andrea J Bontrager, LCSW
• Mendy Boocher, OTR
• Sharon Diane Bouhaja, NP

• Certified Registered Nurse Anesthetist in Niles, MI
• Providers in Niles, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.