Individual provider Active NPI

Sandra K Saffran, ARNP, PH.D., PC

  • Psychiatry Physician
  • Yakima, WA
National Provider Identifier
1356495568
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
AP30005001 Issued in WA
Practice address
4601 Tieton Dr
Yakima, WA 98908-3477
Phone
(509) 452-2404
Fax
(509) 452-2409
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X AP30005001 WA
Registered Nurse 163W00000X RN00059138 WA
Psychiatry Physician 2084P0800X AP30005001 WA Primary

Addresses

Primary practice location

4601 Tieton Dr
Yakima, WA 98908-3477

Mailing address

4601 Tieton Dr
Yakima, WA 98908-3477
Phone (509) 452-2404

Other identifiers 1

IdentifierTypeStateIssuer
G8851550OtherWAMEDICARE GROUP PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050309000485 WA Practitioner - Nurse Practitioner 7315991874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4601 Tieton Dr
Yakima, WA 98908-3477
Phone (509) 452-2404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
RN00059138WAMDRegistered Nurse
AP30005001WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sandra Saffran Arnp PHD Healthcare Associates PC CurrentSince Sep 1, 2003 Accepting new patients

Locations

14925 SE Allen Rd
Ste 104B
Bellevue, WA 98006
Phone (425) 614-0260

4601 Tieton Dr
Yakima, WA 98908
Phone (509) 452-2404

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1356495568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083477",
            "telephone_number": "509-452-2404",
            "fax_number": "509-452-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083477",
            "telephone_number": "509-452-2404",
            "fax_number": "509-452-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFFRAN",
        "first_name": "SANDRA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "ARNP, PH.D., PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30005001",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00059138",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "AP30005001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "G8851550",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.