Annette Elizabeth Sanders, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2021037376 Issued in MO

Practice address

10608 NW 86TH Ter
Kansas City, MO 64153-3688

Phone

(816) 308-3900

NPI assigned

Jul 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1594425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650672000000",
    "number": "1508484973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10608 NW 86TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641533688",
            "telephone_number": "816-308-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10608 NW 86TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641533688",
            "telephone_number": "816-308-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ANNETTE",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-11",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "77406",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79609-062",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021037376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "primehealthcare.com",
            "affiliation": "N",
            "address_1": "3500 S 4th St",
            "city": "Leavenworth",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660485044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sand Dollar Systems Inc (Sand Dollar Social and Clinical Services)
• John J Sand, MD
• Brenna Sandbothe, OTR/L
• Ronda Gay Sanders-Mowbray, M.S.W.
• Angela Cathleen Sanders, PHARMD
• Denise Elizabeth Sanders, APRN
• Dennis Madison Sanders Jr., LPN
• Lisa Jennifer Sanders, FNP
• Ronda Sanders
• Shayla Sanders, FNP-BC

• Family Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.