MR. DALE MICHAEL SANDERSON N.P. NPI 1659643054

NPI Information

NPI: 1659643054
Provider Name: MR. DALE MICHAEL SANDERSON, N.P.
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

PECOS Registration: Yes

Address:
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
Phone: (225) 374-4325
Get Directions

MR. Dale Michael Sanderson, N.P. is a neonatal nurse practitioner in Baton Rouge, LA. MR. Dale Michael Sanderson, N.P. NPI is 1659643054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809-489
Phone: (225) 374-4325

The NPI 1659643054 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/31/2012 and was last updated on 10/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LN0000X	Nurse Practitioner	Neonatal	AP06807	LOUISIANA	Yes
2	363LN0000X	Nurse Practitioner	Neonatal	TAP002754	LOUISIANA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2190598	MEDICAID	LOUISIANA
2	PENDING	OTHER	LOUISIANA	BCBS LA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »