Active NPI
Martha Sanders, APN
- Nurse Practitioner
- Cotton Plant, AR
National Provider Identifier
1205996758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A01500
- Practice address
- 125 Oak St
Cotton Plant, AR 72036-5089 - Phone
- (870) 459-3588
- Fax
- (870) 459-3906
- NPI assigned
- Dec 12, 2006
- Last updated
- Feb 26, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A01500 | AR | Primary |
Addresses
Primary practice location
125 Oak St
Cotton Plant, AR 72036-5089
Mailing address
PO Box 497
623 N 9TH Street
Augusta, AR 72006
Phone (870) 347-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165030758 | Medicaid | AR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A01500 | AR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcare | Past | Accepting new patients |
Organizations & group practices 1
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": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456444800000",
"number": "1205996758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 497",
"address_2": "623 N 9TH STREET",
"city": "AUGUSTA",
"state": "AR",
"postal_code": "72006",
"telephone_number": "870-347-3300",
"fax_number": "870-347-3492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 OAK ST",
"city": "COTTON PLANT",
"state": "AR",
"postal_code": "720365089",
"telephone_number": "870-459-3588",
"fax_number": "870-459-3906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "MARTHA",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2016-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "A01500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165030758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cotton Plant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.