Nichole Brianna Wardle-Sanford

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP222546 Issued in AZ

Practice address

5868 E Kathleen Rd
Scottsdale, AZ 85254-1861

Phone

(623) 256-7408

NPI assigned

May 7, 2018

Last updated

Jan 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Nichole Brianna Wardle Former name

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hoshi Infectious Disease LLCGroup PAC ID 8729493846, 3 clinicians

Affiliated Hospitalists PLCGroup PAC ID 6204822869, 84 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Osborn Health and Rehabilitation Nursing home, Scottsdale, AZ, CCN 035076

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Affiliated Hospitalists, PLC

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1265546261

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Hoshi Infectious Disease LLC

  • Infectious Disease Physician
  • Glendale, AZ
  • NPI 1477143923

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Sjhmc Physician Services

  dba St. Joseph's Faculty Physicians

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1326098005
  Medicare reassignment NPD
• St. Joseph's Hospital and Medical Center

  dba SJHMC Trauma Services

  • Emergency Care Clinic/Center
  • Phoenix, AZ
  • NPI 1255382412

  Multi-Specialty

  NPD
• Renewcare of Scottsdale, Inc.

  dba Osborn Health and Rehabilitation

  • Skilled Nursing Facility
  • Scottsdale, AZ
  • NPI 1487731022
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Renewcare of Scottsdale, Inc.

  dba Osborn Health and Rehabilitation

  • Skilled Nursing Facility
  • Scottsdale, AZ
  • NPI 1487731022

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1114416989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5868 E KATHLEEN RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5868 E KATHLEEN RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541861",
            "telephone_number": "623-256-7408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9225 N 3rd St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850202466",
            "country_code": "US",
            "telephone_number": "602-445-0751",
            "fax_number": "602-424-8128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARDLE-SANFORD",
        "first_name": "NICHOLE",
        "middle_name": "BRIANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP222546",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AZ",
            "license": "RN154823",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "AP222546",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "WARDLE",
            "middle_name": "BRIANNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Marie Ward, MD
• Katelyn Marie Ward, LAT, ATC
• Kimberly Lee Ward, CRNA
• Roberta Lynn Ward, CNM, FNP, DNP
• Katerina Warda, DO
• Erika Ware, ND
• Janeice Ware, RBT
• Sally T Wareing, MD
• Thomas Hightower Wareing, M.D.
• Caitlin C Warlick, DO

• Family Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.