Individual provider Active NPI

Essence Nowak-Satterwhite

  • Nurse's Aide
  • San Tan Valley, AZ
National Provider Identifier
1174216097
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
281464 Issued in AZ
Practice address
28657 N Dolomite LN
San Tan Valley, AZ 85143-6053
Phone
(520) 280-9038
NPI assigned
May 26, 2023
Last updated
May 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Dietary Manager 132700000X AZ
Home Health Aide 374U00000X AZ
Nurse's Aide 376K00000X 281464 AZ Primary
Driver 172A00000X D07601447 AZ
Pharmacy Technician 183700000X T073664 AZ
Community Health Worker 172V00000X AZ
Case Manager/Care Coordinator 171M00000X AZ

Addresses

Primary practice location

28657 N Dolomite LN
San Tan Valley, AZ 85143-6053

Mailing address

28657 N Dolomite LN
San Tan Valley, AZ 85143-6053
Phone (520) 280-9038

Other identifiers 1

IdentifierTypeStateIssuer
024804775MedicaidMA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D07601447AZMDDriver
T073664AZMDPharmacy Technician
281464AZMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1174216097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28657 N DOLOMITE LN",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851436053",
            "telephone_number": "520-280-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28657 N DOLOMITE LN",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851436053",
            "telephone_number": "520-280-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK-SATTERWHITE",
        "first_name": "ESSENCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "AZ",
            "license": "281464",
            "primary": true
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "AZ",
            "license": "D07601447",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "AZ",
            "license": "T073664",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024804775",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.