Active NPI
Nancy Desantis
- Registered Nurse
- Kayenta, AZ
National Provider Identifier
1356747117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN627434
- Practice address
- 393 West Ka 2010 US Highway 163
Kayenta, AZ 86033 - Phone
- (928) 697-4100
- NPI assigned
- Nov 6, 2014
- Last updated
- Nov 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN627434 | PA | Primary |
Addresses
Primary practice location
393 West Ka 2010 US Highway 163
Kayenta, AZ 86033
Mailing address
393 West Ka 2010 US Highway 163
Kayenta, AZ 86033
Phone (814) 860-6577
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN627434 | Other | PA | RN LICENSE |
| 15181799 | Other | PA | DR LICENSE |
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 |
|---|---|---|---|
| RN627434 | PA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1356747117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 WEST KA 2010 US HIGHWAY 163",
"city": "KAYENTA",
"state": "AZ",
"postal_code": "86033",
"telephone_number": "814-860-6577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 WEST KA 2010 US HIGHWAY 163",
"city": "KAYENTA",
"state": "AZ",
"postal_code": "86033",
"telephone_number": "928-697-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESANTIS",
"first_name": "NANCY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-06",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN627434",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN627434",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR LICENSE",
"identifier": "15181799",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kayenta, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.