Individual provider Active NPI

Sara Julander, RN

  • Neonatal Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1003067836
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
121742 Issued in AZ
Practice address
300 W Clarendon Ave Ste 375
Phoenix, AZ 85013-3476
Phone
(602) 277-4161
Fax
(602) 266-3481
NPI assigned
Oct 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Intensive Care Registered Nurse 163WN0002X 163WN0002X AZ
Neonatal Nurse Practitioner 363LN0000X 121742 AZ Primary

Addresses

Primary practice location

300 W Clarendon Ave Ste 375
Phoenix, AZ 85013-3476

Mailing address

300 W Clarendon Ave Ste 375
Phoenix, AZ 85013-3476
Phone (602) 277-4161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130509000635 AZ Order and Referring Only - Nurse Practitioner 8527205566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
163WN0002XAZMDNeonatal Intensive Care Registered Nurse
121742AZMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Phoenix PC Neonatal Past Accepting new patients
Neonatology Associates, LTD Neonatal Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1003067836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE STE 375",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133476",
            "telephone_number": "602-277-4161",
            "fax_number": "602-266-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE STE 375",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133476",
            "telephone_number": "602-277-4161",
            "fax_number": "602-266-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULANDER",
        "first_name": "SARA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "AZ",
            "license": "163WN0002X",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "AZ",
            "license": "121742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.