Sandra A. Dahlberg, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-094527 Issued in AL

Practice address

201 Governors Dr SW Ste 400
Huntsville, AL 35801-5183

Phone

(256) 265-7246

Fax

(256) 265-7017

NPI assigned

May 24, 2012

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 names 1

• Sandra Flick Former name

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HH Tennessee Valley Pain CenterGroup PAC ID 4587075783, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Highlands Medical Center Hospital, Scottsboro, AL, CCN 010061
• Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• HH Tennessee Valley Pain Center

  • Pain Medicine Physician
  • Huntsville, AL
  • NPI 1639709710
  Medicare reassignment Care Compare group NPD
• Tennessee Valley Pain Consultants, PC

  • Pain Medicine (Anesthesiology) Physician
  • Huntsville, AL
  • NPI 1730548264
  Medicare reassignment NPD
• Tennessee Valley Pain Consultants

  • Anesthesiology Physician
  • Huntsville, AL
  • NPI 1710928510
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HH Health System - Jackson LLC

  • General Acute Care Hospital
  • Scottsboro, AL
  • NPI 1699444976
  Care Compare affiliation
• The Health Care Authority of the City of Huntsville

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1447221056
  Care Compare affiliation

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1992065866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460116",
            "telephone_number": "256-533-7064",
            "fax_number": "256-704-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GOVERNORS DR SW STE 400",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015183",
            "telephone_number": "256-265-7246",
            "fax_number": "256-265-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLBERG",
        "first_name": "SANDRA",
        "middle_name": "A.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-094527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "FLICK",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cytique T Davis PHD LLC
• Cytique T Davis PHD LLC
• D & M Medical Supply, LLC
• Ariana Daftarian
• Kayla Dahl, RD, LD
• Tammy Dahlgren, BCBA
• Jennifer Leigh Daiber, LPC
• Darlene Dailey, P.T.
• Janet H Dailey, PHARMD
• Julia Dailey, DPT

• Family Nurse Practitioner in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.