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Deactivated NPI 1902323595 Deactivated / Inactive NPI Female Practitioner

Nicole Sandven

Speech-Language Pathologist • Santa Fe, NM

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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, Nicole Sandven has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 24, 2017
NPI Deactivation Date October 03, 2017
Total Practice Duration ~1 Years of Practice (2017 – 2017)

Professional Overview & Biography Verified Profile Summary

Nicole Sandven was a registered Speech-Language Pathologist practicing in Santa Fe, NM. Throughout an active medical career spanning 1 years, Nicole Sandven provided care at the practice location at 610 ALTA VISTA ST until profile deactivation on 2017-10-03.

Practice Location & Contact Primary Location

Practice Address

610 Alta Vista St

Santa Fe, NM 875054149

Telephone 5054672055
Associated Practice Facility / Clinic
🏢 Santa Fe Public Schools Facility NPI 1740318336

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Santa Fe, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.8 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
92 Specialists

Practicing in Santa Fe, NM (2057 Statewide)

Telehealth Adoption Rate
1.1% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NM 6031

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Judy Rust-Huerta , LISW

Social Worker - Clinical

NPI 1215250212

Licensed Independent Social Worker

Polly Shattuck , LCSW

Social Worker - School

NPI 1255572160

Licensed Clinical Social Worker

Natalie Moctezuma , MS CFY-SLP

Speech-Language Pathologist

NPI 1285051854

MSCFYSLP

Katherine Seluja , CPNP

Registered Nurse - School

NPI 1285824201

Certified Pediatric Nurse Practitioner

Kristy Wood , PT

Physical Therapist

NPI 1336391069

Physical Therapist

Josefa Gallegos , RN

Registered Nurse - School

NPI 1437034063

Registered Nurse

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 October 03, 2017

Record deactivated on October 03, 2017

NPI Profile Active August 24, 2017

NPI status registered as active in NPPES database

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Updated Practice Location August 24, 2017

Registered at 610 ALTA VISTA ST, SANTA FE, NM 875054149 (Tel: 5054672055)

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Updated Business Mailing Address August 24, 2017

Registered at 4200 RIDGEWAY CT SE APT D, RIO RANCHO, NM 871245973

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Provider Name / Credentials Updated August 24, 2017

Recorded as NICOLE SANDVEN

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2017

Speech-Language Pathologist (License #6031 in NM)

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Initial NPI Registration & Enumeration August 24, 2017

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: 1902323595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2017
Last Update: August 24, 2017
Deactivation Date: October 03, 2017

Mailing Address

4200 Ridgeway Ct Se Apt D

Rio Rancho, NM 871245973

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.