Individual provider Active NPI

Kathy M Sakautzki, C.R.N.P.

  • Adult Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1114912227
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP005116C Issued in PA
Practice address
14425 Bustleton Ave
Philadelphia, PA 19116-1177
Phone
(215) 464-9599
Fax
(215) 464-7865
NPI assigned
Sep 14, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP005116C PA Primary
Family Nurse Practitioner 363LF0000X SP005454B PA

Addresses

Primary practice location

14425 Bustleton Ave
Philadelphia, PA 19116-1177

Mailing address

14425 Bustleton Ave
Philadelphia, PA 19116-1177
Phone (215) 464-9599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP005116CPAMDAdult Health Nurse Practitioner
SP005454BPAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Judy Anderson, MD, PC Past Accepting new patients
HR Physician Services Past Accepting new patients
Visiting Physicians of the Delaware Valley LLC Past Accepting new patients
HR Physician Services Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114912227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14425 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161177",
            "telephone_number": "215-464-9599",
            "fax_number": "215-464-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14425 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161177",
            "telephone_number": "215-464-9599",
            "fax_number": "215-464-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKAUTZKI",
        "first_name": "KATHY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP005116C",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP005454B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.