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MRS. SANDRA DEAN MUMFORD CRNA
NPI 1114223872
Nurse Anesthetist, Certified Registered in Lafayette, IN

Active since January 28, 2011
2600 GREENBUSH ST, LAFAYETTE, IN 47904(765) 448-8000(765) 838-5150 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Nov 27, 2017 (2 updates tracked since 2017).

About Mrs. Sandra Dean Mumford Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SANDRA DEAN MUMFORD CRNA (NPI 1114223872) is an individual nurse anesthetist, certified registered in Lafayette, Indiana, licensed in Indiana (86009) and active in the NPI registry since January 2011. She maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1114223872
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. SANDRA DEAN MUMFORDCredential: CRNA
Location Address2600 GREENBUSH STLafayette, IN 47904-2477
Mailing Address2401 W Belvedere AveBaltimore, MD 21215-5216 · (410) 601-5209
Phone(765) 448-8000
Fax(765) 838-5150
Sole ProprietorNo
Enumeration DateJanuary 28, 2011
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1114223872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in IN · 86009✔ Licensed in ID · N-20588
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 28240085A (IN)
2600 GREENBUSH ST, Lafayette, IN 47904
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Secondary Practice Location 1

Location 12401 W Belvedere AveBaltimore, MD 21215-5216 · Phone (410) 601-5209

Other Identifiers 2

Medicaid300008420IN
OtherPENDINGIN · Anthem Provider Number

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE B HERBERTS MD
Internal Medicine (Critical Care Medicine)
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
KATHRYN LOUISE STUCKER MD
Student in an Organized Health Care Education/Training Program
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
ROGER E. BROWN CRNA
Nurse Anesthetist, Certified Registered
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
DR. DAVID W KELLEY D.O.
Anesthesiology
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
DR. CARLOS SALAZAR CARCAMO M.D.
Internal Medicine
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
CARLOS A GAMBIRAZIO MD
Internal Medicine
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
HAILEY C SMALL MS CF-SLP
Speech-Language Pathologist
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
MRS. ERIN WRIGHT RDN, CD
Dietitian, Registered
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Mumford's NPI number?

The NPI number for Sandra Mumford is 1114223872. It was assigned to this individual provider in the NPPES registry on January 28, 2011.

Where is Sandra Mumford located?

Sandra Mumford practices at 2600 Greenbush St, Lafayette, IN 47904. The listed phone number is (765) 448-8000.

What is Sandra Mumford's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Sandra Mumford was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.