Active NPIIndividual providerSole proprietor

Sandy J Lopez, CRNA

Nurse Anesthetist, Certified Registered in Boston, Massachusetts

NPI Number1457049025
Practice location
55 Fruit St, Boston, MA 02114-2621
Fax
—
Last updated
August 7, 2024

Sandy Julissa Lopez is a Nurse Anesthetist, Certified Registered based in Boston, MA. Sandy Julissa Lopez practices in Boston, MA and has the professional credentials of CRNA. The NPI Number for Sandy Julissa Lopez is 1457049025 and holds a License No. RN2302851 (MA). The current practice location address for Sandy Julissa Lopez is 55 Fruit St, Boston, MA 02114-2621 and can be reached out via phone at 617-724-0288.

Provider Profile Details

NPI Number
1457049025
Provider Name
Sandy Julissa Lopez
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
55 Fruit St, Boston, MA 02114-2621
Phone Number
617-724-0288
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
Yes
Provider Enumeration Date
May 1, 2023
Last Update Date
August 7, 2024
Certification Date
August 7, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fruit St
Boston, MA 02114-2621
City
Boston
Zip
02114-2621
Phone Number
617-724-0288
Boston, MA 02114Get directions →

Provider Business Mailing Address Details

Address
18 Saxony RD
Framingham, MA 01701-7762
City
Framingham
State
MA
Zip
01701-7762
Phone Number
508-333-3483

License Information

License Number (1)
RN2302851
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN2302851
License State (2)
MA
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sandy J Lopez, CRNA?

The NPI number of Sandy J Lopez, CRNA is 1457049025. It was assigned on May 1, 2023 and is currently active in the NPPES registry.

What is the specialty of Sandy J Lopez, CRNA?

Sandy J Lopez, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in MA under license number RN2302851.

Where does Sandy J Lopez, CRNA practice?

The practice location is 55 Fruit St, Boston, MA 02114-2621. The office can be reached at 617-724-0288 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457049025 directly on the NPPES registry website.

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