Active NPI
Kevin Sanders
- Critical Care Certified Respiratory Therapist
- Ft. Defiance, AZ
National Provider Identifier
1508579939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Certified Respiratory Therapist
- License
- RCP00057334
- Practice address
- Corner of Rte N12 and N7
Ft. Defiance, AZ 86504-0649 - Phone
- (928) 729-8000
- NPI assigned
- Dec 30, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Critical Care Certified Respiratory Therapist | 2278C0205X | RCP00057334 | TX | Primary |
Addresses
Primary practice location
Corner of Rte N12 and N7
Ft. Defiance, AZ 86504-0649
Mailing address
PO Box 649
Fort Defiance, AZ 86504-0649
Phone (928) 729-8000
Electronic endpoints 6
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a | Health Information Exchange (HIE) | |
| Other URL | other | Health Information Exchange (HIE) | |
| Other URL | n/a | Health Information Exchange (HIE) | |
| Other URL | n/a | Health Information Exchange (HIE) | |
| Other URL | n/a | Health Information Exchange (HIE) | |
| Other URL | n/a | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| RCP00057334 | TX | MD | Critical Care Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672358400000",
"number": "1508579939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 649",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040649",
"telephone_number": "928-729-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CORNER OF RTE N12 AND N7",
"city": "FT. DEFIANCE",
"state": "AZ",
"postal_code": "865040649",
"telephone_number": "928-729-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "KEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-30",
"last_updated": "2022-12-30",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "2278C0205X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Respiratory Therapist, Certified, Critical Care",
"state": "TX",
"license": "RCP00057334",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "N",
"endpointDescription": "n/a",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "Corner of Rte 12 and, Rte 7",
"city": "Ft.Defiance",
"state": "AZ",
"country_code": "US",
"postal_code": "86504",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "other",
"affiliation": "N",
"endpointDescription": "other",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"useOtherDescription": "other",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "Corner of Rte 12 and, Rte 7",
"city": "Ft.Defiance",
"state": "AZ",
"country_code": "US",
"postal_code": "86504",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "N",
"endpointDescription": "n/a",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "Corner of Rte 12 and, Rte 7",
"city": "Ft.Defiance",
"state": "AZ",
"country_code": "US",
"postal_code": "86504",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "N",
"endpointDescription": "n/a",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "Corner of Rte 12 and, Rte 7",
"city": "Ft.Defiance",
"state": "AZ",
"country_code": "US",
"postal_code": "86504",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "N",
"endpointDescription": "n/a",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "Corner of Rte N12 and N7",
"city": "Ft. Defiance",
"state": "AZ",
"country_code": "US",
"postal_code": "865040649",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "N",
"endpointDescription": "n/a",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "Corner of Rte 12 and, Rte 7",
"city": "Ft.Defiance",
"state": "AZ",
"country_code": "US",
"postal_code": "86504",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ft. Defiance, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.