Active NPI
Essence Nowak-Satterwhite
- Nurse's Aide
- San Tan Valley, AZ
National Provider Identifier
1174216097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 281464
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024804775 | Medicaid | MA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| D07601447 | AZ | MD | Driver |
| T073664 | AZ | MD | Pharmacy Technician |
| 281464 | AZ | MD | Nurse'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.