Sanila Sani Enchackal, AGACNP - BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1060356 Issued in TX

Practice address

5550 Twin Rivers LN
Sugar Land, TX 77479-7128

Phone

(832) 289-7247

NPI assigned

Dec 12, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1639267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639267200000",
    "number": "1245999754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 TWIN RIVERS LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797128",
            "telephone_number": "832-289-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 TWIN RIVERS LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797128",
            "telephone_number": "832-289-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCHACKAL",
        "first_name": "SANILA",
        "middle_name": "SANI",
        "credential": "AGACNP - BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-12",
        "last_updated": "2021-12-12",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1060356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acute Care Nurse Practitioner in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2021; 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.