Individual provider Active NPI

Meagan Rose Sitko, NP

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1386297968
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
227785 Issued in AZ
Practice address
161 E Rivulon Blvd Ste 210
Gilbert, AZ 85297-0087
Phone
(480) 494-2465
Fax
(480) 534-4087
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 227785 AZ Primary

Addresses

Primary practice location

161 E Rivulon Blvd Ste 210
Gilbert, AZ 85297-0087

Mailing address

123 E Baseline Rd Ste D104
Tempe, AZ 85283-1291
Phone (480) 718-0568

Other names 1

  • Meagan Rose Robinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
227785AZMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1386297968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E BASELINE RD STE D104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831291",
            "telephone_number": "480-718-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 E RIVULON BLVD STE 210",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970087",
            "telephone_number": "480-494-2465",
            "fax_number": "480-534-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITKO",
        "first_name": "MEAGAN",
        "middle_name": "ROSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "227785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGAN",
            "last_name": "ROBINSON",
            "middle_name": "ROSE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.