Active NPI
Mark Sanford, FNP
- Family Nurse Practitioner
- Newark, DE
National Provider Identifier
1336515162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- LG-0000785
- Practice address
- 14 Quartz Mill Rd
Newark, DE 19711-2326 - Phone
- (302) 593-9773
- NPI assigned
- Aug 16, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | LG-0000785 | DE | Primary |
Addresses
Primary practice location
14 Quartz Mill Rd
Newark, DE 19711-2326
Mailing address
14 Quartz Mill Rd
Newark, DE 19711-2326
Phone (302) 593-9773
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0000785 | DE | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439683200000",
"number": "1336515162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 QUARTZ MILL RD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197112326",
"telephone_number": "302-593-9773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 QUARTZ MILL RD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197112326",
"telephone_number": "302-593-9773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANFORD",
"first_name": "MARK",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-16",
"last_updated": "2015-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG-0000785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.