SONORA ANDROMEDA WINDERMERE MD - NPI 1245817295 - Student in an Organized Health Care Education/Training Program in Boston, MA

Q: What is Sonora Windermere's NPI number?

The NPI number for Sonora Windermere is 1245817295. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Q: What is Sonora Windermere's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Sonora Windermere was last updated on March 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Sonora Andromeda Windermere Md NPPES

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

SONORA ANDROMEDA WINDERMERE MD (NPI 1245817295) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245817295

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSONORA ANDROMEDA WINDERMERECredential: MD

Location Address725 ALBANY ST FL 7Boston, MA 02118-3549

Mailing Address2721 Sw 2nd AveGainesville, FL 32607-3107 · (602) 750-7822

Phone(617) 638-8992

Sole ProprietorYes

Enumeration DateMarch 25, 2021

Last NPPES UpdateMarch 30, 20212 updates tracked since enumeration

NPPES CertifiedMarch 30, 2021

✔ NPI 1245817295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

725 ALBANY ST FL 7, Boston, MA 02118

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sonora Andromeda Windermere Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

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

SONYA TARYN GLEICHER MD

Psychiatry & Neurology (Vascular Neurology)