Individual provider Active NPI

Noah Kipkorir Sang, AGACNP, FNP

  • Family Nurse Practitioner
  • Apache Junction, AZ
National Provider Identifier
1457839896
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11415 Issued in AZ
Practice address
105 S Delaware Dr Ste 2
Apache Junction, AZ 85120-6512
Phone
(480) 646-1001
NPI assigned
Jul 28, 2018
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP11440 AZ
Family Nurse Practitioner 363LF0000X AP11415 AZ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP11415 AZ

Addresses

Primary practice location

105 S Delaware Dr Ste 2
Apache Junction, AZ 85120-6512

Mailing address

288 N Ironwood Dr Ste 112
Apache Junction, AZ 85120-3830
Phone (480) 992-1455

Other practice location 1

1530 E Williams Field Rd Ste 201
Gilbert, AZ 85295-1825
Phone (480) 992-1455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20181025000561 AZ Practitioner - Nurse Practitioner 1153674999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

288 N Ironwood Dr
Suite 112
Apache Junction, AZ 85120-3830
Phone (515) 867-1918

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11440AZMDAcute Care Nurse Practitioner
AP11415AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens Integrated Family Practice LLC Single Specialty CurrentSince Aug 1, 2021 Accepting new patients

Locations

288 N Ironwood Dr
Ste 112
Apache Junction, AZ 85120
Phone (480) 992-1455

1530 E Williams Field Rd
Ste 201
Gilbert, AZ 85295
Phone (480) 406-1132

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHFFCD/Endpoint/BHFFCD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1532736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1457839896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 N IRONWOOD DR STE 112",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851203830",
            "telephone_number": "480-992-1455",
            "fax_number": "480-992-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S DELAWARE DR STE 2",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851206512",
            "telephone_number": "480-646-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 E Williams Field Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852951825",
            "country_code": "US",
            "telephone_number": "480-992-1455",
            "fax_number": "480-992-5477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANG",
        "first_name": "NOAH",
        "middle_name": "KIPKORIR",
        "credential": "AGACNP, FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-28",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP11440",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11415",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP11415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

Verify at the official NPI Registry.