Individual provider Active NPI

Sandra Burkinshaw, FNP-C

  • Family Nurse Practitioner
  • American Fork, UT
National Provider Identifier
1013464726
Registry record updated Sep 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5350349-4405 Issued in UT
Practice address
1248 E 90 N
Suite 300
American Fork, UT 84003-2956
Phone
(801) 756-9635
NPI assigned
Sep 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5350349-4405 UT Primary

Addresses

Primary practice location

1248 E 90 N
Suite 300
American Fork, UT 84003-2956

Mailing address

1248 E 90 N
Suite 300
American Fork, UT 84003-2956
Phone (801) 756-9635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20161114002476 UT Practitioner - Nurse Practitioner 9830478882 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics and Gynecology, PC CurrentSince Sep 28, 2016 Accepting new patients
Valley Obstetrics and Gynecology, PC Past Accepting new patients

Locations

1248 E 90 N
Ste 300
American Fork, UT 84003
Phone (801) 756-1157

585 N 500 W
Provo, UT 84601
Phone (801) 374-1801

Organizations & group practices 3

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": "1473465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473465600000",
    "number": "1013464726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 E 90 N",
            "address_2": "SUITE 300",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032956",
            "telephone_number": "801-756-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 E 90 N",
            "address_2": "SUITE 300",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032956",
            "telephone_number": "801-756-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKINSHAW",
        "first_name": "SANDRA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-10",
        "last_updated": "2016-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5350349-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.