STACY ANN SANDERS ARNP NPI 1679187603

NPI Information

NPI: 1679187603
Provider Name: STACY ANN SANDERS, ARNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
8 RICHLAND MEDICAL PARK DR STE 300
COLUMBIA, SC
ZIP 29203
Phone: (803) 256-6511
Get Directions

Stacy Ann Sanders, ARNP is an acute care nurse practitioner in Columbia, SC. Stacy Ann Sanders, ARNP NPI is 1679187603. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8 RICHLAND MEDICAL PARK DR STE 300
COLUMBIA, SC
ZIP 29203-008
Phone: (803) 256-6511
Fax: (803) 376-5885

The NPI 1679187603 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 9/8/2020 and was last updated on 5/8/2023.

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	363L00000X	Nurse Practitioner		RN61073477	WASHINGTON	No
2	363LA2100X	Nurse Practitioner	Acute Care	AP61105297	WASHINGTON	No
3	363LA2100X	Nurse Practitioner	Acute Care	27220	SOUTH CAROLINA	Yes

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	1679187603	MEDICAID	WASHINGTON

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: 4/28/2024

NPI Synchronization or Removal

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