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Deactivated NPI 1144439761 Deactivated / Inactive NPI Female Practitioner

Sandra Sue Nelson , RNFA

Specialist • Riverside, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sandra Nelson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 21, 2007
NPI Deactivation Date December 09, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Sandra Nelson, RNFA was a registered Specialist practicing in Riverside, CA. Throughout an active medical career spanning 13 years, Sandra Nelson provided care at the practice location at 16693 LAKE KNOLL PKWY until profile deactivation on 2020-12-09.

Practice Location & Contact Primary Location

Practice Address

16693 Lake Knoll Pkwy

Riverside, CA 925036503

Telephone 9513590983
Fax 9513542436

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.1 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
52 Specialists

Practicing in Riverside, CA (6446 Statewide)

Telehealth Adoption Rate
5.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA 172630

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 09, 2020

Record deactivated on December 09, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 16693 LAKE KNOLL PKWY, RIVERSIDE, CA 925036503 (Tel: 9513590983)

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Updated Business Mailing Address July 08, 2007

Registered at 16693 LAKE KNOLL PKWY, RIVERSIDE, CA 925036503 (Tel: 9513590983)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SANDRA NELSON, RNFA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #172630 in CA)

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Initial NPI Registration & Enumeration May 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144439761
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2007
Last Update: July 08, 2007
Deactivation Date: December 09, 2020

Mailing Address

16693 Lake Knoll Pkwy

Riverside, CA 925036503

Phone: 9513590983

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.