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HEATHER SANDFORT
NPI 1194563189
Nurse Practitioner - Family in Philadelphia, PA

Active since July 16, 2024
1501 N BROAD ST, PHILADELPHIA, PA 19122(267) 456-5553 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2025, Jul 16, 2024 (2 updates tracked since 2024).

About Heather Sandfort NPPES

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

HEATHER SANDFORT (NPI 1194563189) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP030021) and active in the NPI registry since July 2024. She maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1194563189
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER SANDFORT
Location Address1501 N BROAD STPhiladelphia, PA 19122-3319
Mailing Address9004 Ayrdale CresPhiladelphia, PA 19128-1047 · (267) 993-0988
Phone(267) 456-5553
Sole ProprietorNo
Enumeration DateJuly 16, 2024
Last NPPES UpdateApril 2, 20252 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1194563189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP030021
1501 N BROAD ST, Philadelphia, PA 19122
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Secondary Practice Location 1

Location 19004 Ayrdale CresPhiladelphia, PA 19128-1047 · Phone (267) 993-0988

Other Providers at the Same Location NPPES 5

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

MS. ATEEYA JACKSON NURSE PRACTITIONER
Nurse Practitioner
1501 N BROAD ST
PHILADELPHIA, PA 19122
Philadelphia County (267) 457-5553
KEOMOUKDA RAJAVONG RPH
Pharmacist
1501 N BROAD ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 235-4000
DR. ERNEST A WATSON JR. D.C.
Chiropractor
1501 N BROAD ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 232-7208
WATSON CHIROPRACTIC & PT CLINIC PLLC
Chiropractor
1501 N BROAD ST, 17
PHILADELPHIA, PA 19122
Philadelphia County (215) 232-1919
DR. JEFFREY S MORGAN D.C.
Chiropractor (Rehabilitation)
1501 N BROAD ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 232-7208

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 Heather Sandfort's NPI number?

The NPI number for Heather Sandfort is 1194563189. It was assigned to this individual provider in the NPPES registry on July 16, 2024.

Where is Heather Sandfort located?

Heather Sandfort practices at 1501 N Broad St, Philadelphia, PA 19122. The listed phone number is (267) 456-5553.

What is Heather Sandfort's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Heather Sandfort was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.