Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Sandra Deanne Spackman, MSN, APRN, AGANCP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1164892592

MS. Sandra Deanne Spackman, MSN, APRN, AGANCP-BC is a Nurse Practitioner in Salt Lake City, Utah. Qualified in 2015, 11 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
11
Licensed in
UT
In the registry since
2015
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

30 N 1900 E 4A100
Salt Lake City, UT 84132-0002
Phone: (801) 585-7676
Fax: (801) 581-7735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 288353-8900 (UT)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 288353-4405 (UT)

Record details

NPI number1164892592
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , APRN , AGANCP-BC
Sole proprietorNo
NPI enumeratedSeptember 28, 2015
Last updated in NPPESNovember 18, 2021
Certification dateNovember 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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