Individual provider Active NPI

Denise C Sarsam, RN,MSN,FNP

  • Family Nurse Practitioner
  • Casa Grande, AZ
National Provider Identifier
1194711333
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1253 Issued in AZ
Practice address
560 N Camino Mercado
Suite 7
Casa Grande, AZ 85122-5759
Phone
(520) 836-5538
Fax
(520) 836-6998
NPI assigned
Sep 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP1253 AZ Primary

Addresses

Primary practice location

560 N Camino Mercado
Suite 7
Casa Grande, AZ 85122-5759

Mailing address

560 N Camino Mercado
Suite 7
Casa Grande, AZ 85122-5759
Phone (520) 836-5538

Other identifiers 1

IdentifierTypeStateIssuer
639594MedicaidAZ

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
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona State University Past Accepting new patients
Arizona State University Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1194711333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 N CAMINO MERCADO",
            "address_2": "SUITE 7",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225759",
            "telephone_number": "520-836-5538",
            "fax_number": "520-836-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N CAMINO MERCADO",
            "address_2": "SUITE 7",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225759",
            "telephone_number": "520-836-5538",
            "fax_number": "520-836-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARSAM",
        "first_name": "DENISE",
        "middle_name": "C",
        "credential": "RN,MSN,FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP1253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "639594",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.