SANDRA YVONNE GANTT LPN
NPI 1609173848
Licensed Practical Nurse in Watertown, NY

Q: What is Sandra Gantt's NPI number?

The NPI number for Sandra Gantt is 1609173848. It was assigned to this individual provider in the NPPES registry on February 24, 2011.

Q: What is Sandra Gantt's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Gantt was last updated on February 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.

Active since February 24, 2011

21107 NYS RT. 12F, WATERTOWN, NY 13601(315) 782-9285 Get Directions Write a Review

NPPES record last updated: February 24, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sandra Yvonne Gantt Lpn NPPES

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

SANDRA YVONNE GANTT LPN (NPI 1609173848) is an individual licensed practical nurse in Watertown, New York, licensed in New York (277780) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1609173848

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSANDRA YVONNE GANTTCredential: LPN

Location Address21107 NYS RT. 12FWatertown, NY 13601

Mailing Address180 Palmer StWatertown, NY 13601-2344 · (315) 786-1101

Phone(315) 782-9285

Sole ProprietorNo

Enumeration DateFebruary 24, 2011

✔ NPI 1609173848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 277780

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

21107 NYS RT. 12F, Watertown, NY 13601

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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 Gantt's NPI number?

The NPI number for Sandra Gantt is 1609173848. It was assigned to this individual provider in the NPPES registry on February 24, 2011.

Where is Sandra Gantt located?

Sandra Gantt practices at 21107 Nys Rt. 12F, Watertown, NY 13601. The listed phone number is (315) 782-9285.

What is Sandra Gantt's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Sandra Gantt was last updated on February 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.