NPIMap

Individual provider Active NPI

Beth Ann Sanford, ANP-C

  • Family Nurse Practitioner
  • Yerington, NV
National Provider Identifier
1245304732
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN000639 Issued in NV
Practice address
311 Surprise Street
Yerington, NV 89447
Phone
(775) 463-2301
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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 APN000639 NV Primary

Addresses

Primary practice location

311 Surprise Street
Yerington, NV 89447

Mailing address

213 South Whitacre Street
Yerington, NV 89447
Phone (775) 463-2301

Other practice location 1

330 Crampton St
Reno, NV 89502
Phone (775) 336-3700

Other identifiers 2

IdentifierTypeStateIssuer
APN000639OtherNVSTATE OF NEVADA NURSING
1245304732MedicaidNV

Other names 1

  • Beth Ann Seibert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090630000033 NV Practitioner - Nurse Practitioner 0648321844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nevada, Las Vegas School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Lyon Health Center IncGroup PAC ID 0648178533, 20 clinicians

Practice addresses (Care Compare)

213 S Whitacre St
Yerington, NV 89447-2561
Phone (775) 463-2301

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Reno, NV, CCN 297022
  • South Lyon Medical Center Hospital, Yerington, NV, CCN 291314
  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN000639NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Lyon Health Center, Inc. CurrentSince Jan 27, 2022 Accepting new patients
South Lyon Health Center, Inc. Current Accepting new patients
South Lyon Health Center, Inc. Current Accepting new patients
South Lyon Health Center, Inc. CurrentSince Jan 27, 2022 Accepting new patients
Northern Nevada Medical Group, LLC Past Accepting new patients

Locations

1055 S Wells Ave
Reno, NV 89502
Phone (775) 829-6300

213 S Whitacre St
Yerington, NV 89447
Phone (775) 463-2301

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1245304732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 SOUTH WHITACRE STREET",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "89447",
            "telephone_number": "775-463-2301",
            "fax_number": "775-463-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 SURPRISE STREET",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "89447",
            "telephone_number": "775-463-2301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Crampton St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "89502",
            "country_code": "US",
            "telephone_number": "775-336-3700",
            "fax_number": "775-336-3701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN000639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEVADA NURSING",
            "identifier": "APN000639",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245304732",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "SEIBERT",
            "middle_name": "ANN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yerington, NV

Sources for this page

Verify at the official NPI Registry.