Sandra Addari

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD2006-0554 Issued in NM

Practice address

2465 S Telshor Blvd
Las Cruces, NM 88011-5049

Phone

(505) 532-6061

Fax

(505) 532-6063

NPI assigned

Aug 31, 2006

Last updated

Sep 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Addari Family Medicine LLC

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1134227382
  Authorized official Same address or phone
• Christene Vancott CNM CFNP PC

  • Community Health Registered Nurse
  • Las Cruces, NM
  • NPI 1114060092
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1174635791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SCHOFIELD RD",
            "address_2": "BLDG 1179",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347577",
            "telephone_number": "210-808-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115049",
            "telephone_number": "505-532-6061",
            "fax_number": "505-532-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDARI",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2006-0554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aday Orthodontics, PC
• B Joe Aday, DDS
• James Bradley Aday, DDS
• Kwasi Addae-Mensah, MD
• Addari Family Medicine LLC
• Hanan Addi
• Addus Healthcare, Inc. (Addus homeCare)
• Jochebed Ade-Oshifogun, PMHNP-BC
• Temitope Ade-Oshifogun, MD
• Taiwo Babatunde Adedipe, M.D

• Family Medicine Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.