Amber Nichole Sandoval, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

258444 Issued in AZ

Practice address

3501 N 24TH St Ste 101
Phoenix, AZ 85016-6607

Phone

(602) 698-5820

NPI assigned

Jan 4, 2025

Sex

Female

Sole proprietor

Yes

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 AZ, NV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Akash Makkar PLLCGroup PAC ID 5698014322, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18634/brand/1/csg/1/fhir/r4

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.

• Akash Makkar PLLC

  • Clinical Cardiac Electrophysiology Physician
  • Phoenix, AZ
  • NPI 1699265207

  AZ

  Medicare reassignment Care Compare group NPD
• Immersive Medical Holdings PLLC

  • Surgical Critical Care Physician
  • Henderson, NV
  • NPI 1558188003

  AZ, NV

  Medicare reassignment
• Kumar Ravi MD Facc PC

  • Cardiovascular Disease Physician
  • Sun City, AZ
  • NPI 1225089410
  NPD (past)

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

{
    "created_epoch": "1735948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1295544179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 CHESTNUT ST APT 2R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034908",
            "telephone_number": "720-412-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N 24TH ST STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166607",
            "telephone_number": "602-698-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "AMBER",
        "middle_name": "NICHOLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-04",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "258444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabatha Lynne Sandman Kerr
• Miranda Nicole Sandner, RDN
• Joseph J Sandor, MD
• Jesus Sandoval Macias, MD
• Kate Sandoval Mejia, RD
• Anthony Sandoval, PA
• Bianca Sandoval
• Blandina Sandoval, RN
• Breanna Sandoval, FNP-C
• Helen Marie Sandoval, B.S.

• Acute Care Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.