SANDRA L IVERSON CPNP NPI 1790886976

NPI Information

NPI: 1790886976
Provider Name: SANDRA L IVERSON, CPNP
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
NORTH METRO PEDIATRICS 10081 DOGWOOD STREET NW
SUITE 100
COON RAPIDS, MN
ZIP 55448
Phone: (763) 783-3722
Get Directions

Sandra L Iverson, CPNP is a pediatrics in Coon Rapids, MN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Sandra L Iverson, CPNP NPI is 1790886976. 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:

NORTH METRO PEDIATRICS 10081 DOGWOOD STREET NW
SUITE 100
COON RAPIDS, MN
ZIP 55448
Phone: (763) 783-3722
Fax: (763) 783-7944

The enumeration date for this NPI number is 9/26/2006 and was last updated on 10/3/2012.

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	208000000X	Pediatrics		R 063381-7	MINNESOTA	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	HP21983	OTHER	MINNESOTA	HEALTH PARTNERS
2	P00014192	OTHER		RAILROAD MEDICARE
3	43929100	MEDICAID	WISCONSIN
4	941742700	MEDICAID	MINNESOTA
5	12-09026	OTHER		MEDICA-PRIMARY
6	207209	OTHER	MINNESOTA	FAIRVIEW
7	A520	OTHER		CHAMPUS
8	P25041	MEDICARE UPIN
9	500001521	MEDICARE ID-TYPE UNSPECIFIED
10	025A2IV	OTHER	MINNESOTA	BCBS
11	1043948	OTHER		PREFERRED ONE
12	104736	OTHER	MINNESOTA	U CARE
13	1576851	OTHER		AMERICAS PPO/ARAZ
14	4305613	MEDICAID	MONTANA
15	12-00987	OTHER		MEDICA-CHOICE

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: 5/5/2024

NPI Synchronization or Removal

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