Individual provider Active NPI

Janet Lynn Sanford, FNP

  • Family Nurse Practitioner
  • Hamlet, NC
National Provider Identifier
1538337407
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201250 Issued in NC
Practice address
1021 W Hamlet Ave
Suite 5
Hamlet, NC 28345-4564
Phone
(910) 582-5166
Fax
(910) 582-5168
NPI assigned
Feb 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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 201250 NC Primary

Addresses

Primary practice location

1021 W Hamlet Ave
Suite 5
Hamlet, NC 28345-4564

Mailing address

1021 W Hamlet Ave
Suite 5
Hamlet, NC 28345-4564
Phone (910) 582-5166

Other identifiers 1

IdentifierTypeStateIssuer
7004673MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20101006000932 NC Practitioner - Nurse Practitioner 7012109234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond County DSSGroup PAC ID 2264497759, 2 clinicians

Practice addresses (Care Compare)

127 Caroline St
Rockingham, NC 28379-3567
Phone (910) 997-8323

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201250NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Richmond CurrentSince Sep 8, 2014 Accepting new patients
Richmond County DSS CurrentSince Sep 8, 2014 Accepting new patients
Hamlet Hma PPM LLC General Practice Past Accepting new patients
Richmond County Health Department Past Accepting new patients

Locations

127 Caroline St
Rockingham, NC 28379
Phone (910) 997-8300

125 Caroline St
Rockingham, NC 28379
Phone (910) 997-8475

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 4

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": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1538337407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W HAMLET AVE",
            "address_2": "SUITE 5",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283454564",
            "telephone_number": "910-582-5166",
            "fax_number": "910-582-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 W HAMLET AVE",
            "address_2": "SUITE 5",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283454564",
            "telephone_number": "910-582-5166",
            "fax_number": "910-582-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "JANET",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004673",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamlet, NC

Sources for this page

Verify at the official NPI Registry.