NPIMap

Organization Active NPI

Sanguinity Mobile Medical

  • Family Nurse Practitioner
  • Waitsburg, WA
National Provider Identifier
1033540190
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60099171 Issued in WA
Legal business name
SANGUINITY MOBILE MEDICAL
Doing business as
Sanguinity Medical
Practice address
425 E 8TH St
Waitsburg, WA 99361-9742
Phone
(509) 540-7208
Fax
(509) 351-2043
NPI assigned
Nov 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Mr. Glenn Arlin Silver, ARNPNPI 1518195387
Title
Provider
Phone
(509) 540-7208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP60099171 WA Primary

Addresses

Primary practice location

425 E 8TH St
Waitsburg, WA 99361-9742

Mailing address

425 E 8TH St
Waitsburg, WA 99361-9742
Phone (509) 540-7208

Other names 1

  • Sanguinity Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sanguinity Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1033540190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E 8TH ST",
            "city": "WAITSBURG",
            "state": "WA",
            "postal_code": "993619742",
            "telephone_number": "509-540-7208",
            "fax_number": "509-351-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 8TH ST",
            "city": "WAITSBURG",
            "state": "WA",
            "postal_code": "993619742",
            "telephone_number": "509-540-7208",
            "fax_number": "509-351-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGUINITY MOBILE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "SILVER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "ARLIN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "509-540-7208",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60099171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanguinity Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waitsburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.