Individual provider Active NPI

Sara Huschke Emery, R.N., A.N.P.

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1508887670
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP1226 Issued in AZ
Practice address
11209 N Tatum Blvd Ste 160
Phoenix, AZ 85028-3092
Phone
(480) 285-2180
Fax
(480) 285-2182
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP1226 AZ Primary

Addresses

Primary practice location

11209 N Tatum Blvd Ste 160
Phoenix, AZ 85028-3092

Mailing address

11209 N Tatum Blvd Ste 160
Phoenix, AZ 85028-3092
Phone (480) 285-2180

Other identifiers 1

IdentifierTypeStateIssuer
AP1226OtherAZLICENSE

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
I20040903000943 AZ Practitioner - Nurse Practitioner 5991771651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Susan del Sordi Staats DO PLLCGroup PAC ID 1052674090, 3 clinicians

Practice addresses (Care Compare)

11209 N Tatum Blvd
Suite 160
Phoenix, AZ 85028-3092
Phone (480) 285-2180

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Susan del Sordi Staats, DO PLLC CurrentSince Mar 21, 2018 Accepting new patients
Premier Pain & Wellness PastSince Jul 17, 2022 Accepting new patients
Privia Medical Group Arizona, LLC PastSince Apr 1, 2013 Accepting new patients
Flow Rheumatology, PLLC PastSince Jun 1, 2020 Accepting new patients

Locations

11209 N Tatum Blvd
Ste 160
Phoenix, AZ 85028
Phone (480) 285-2180

7425 E Shea Blvd
Ste 100
Scottsdale, AZ 85260
Phone (480) 285-2180

Organizations & group practices 4

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

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1508887670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283092",
            "telephone_number": "480-285-2180",
            "fax_number": "480-285-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283092",
            "telephone_number": "480-285-2180",
            "fax_number": "480-285-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERY",
        "first_name": "SARA",
        "middle_name": "HUSCHKE",
        "credential": "R.N., A.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2023-03-07",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP1226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP1226",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.