Individual provider Active NPI

Lisa Sanders, FNP

  • Family Nurse Practitioner
  • Richfield, UT
National Provider Identifier
1568039386
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R50740 Issued in ND
Practice address
275 N 200 W
Richfield, UT 84701-2114
Phone
(435) 893-5916
NPI assigned
Jun 9, 2021
Last updated
Jun 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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 R50740 ND Primary

Addresses

Primary practice location

275 N 200 W
Richfield, UT 84701-2114

Mailing address

275 N 200 W
Richfield, UT 84701-2114
Phone (435) 893-5916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220104001333 NY Practitioner - Nurse Practitioner 2567865967 Reassigns benefits to 3 organizations
I20220726000783 AZ Practitioner - Nurse Practitioner 2567865967 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1615 S 1St Ave
Safford, AZ 85546-2103
Phone (928) 348-1701

2016 W 16TH St
Safford, AZ 85546-4026
Phone (928) 428-1500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delphi Healthcare PLLC Nurse Practitioner CurrentSince Dec 1, 2021 Accepting new patients
Carthage Area Hospital Inc CurrentSince Dec 1, 2021 Accepting new patients
Carthage Area Hospital Inc Current Accepting new patients
La Paz Regional Hospital Inc Current Accepting new patients
La Paz Regional Hospital, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Canyonlands Community Health Care CurrentSince Sep 2, 2023 Accepting new patients
La Paz Regional Hospital Inc CurrentSince Jul 1, 2022 Accepting new patients
Canyonlands Community Health Care Nurse Practitioner Current Accepting new patients
Your Doc Around the Clock Nurse Practitioner CurrentSince Jun 5, 2022 Accepting new patients
Carthage Area Hospital Inc. CurrentSince Dec 1, 2021 Accepting new patients
Canyonlands Community Health Care CurrentSince Sep 2, 2023 Accepting new patients
Delphi Hospitalist Services LLC CurrentSince Dec 1, 2021 Accepting new patients
Canyonlands Community Health Care Past Accepting new patients

Locations

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

1713 S Kofa Ave
Ste A
Parker, AZ 85344
Phone (928) 669-7380

1615 S 1st Ave
Safford, AZ 85546
Phone (928) 348-1701

2016 W 16th St
Safford, AZ 85546
Phone (520) 428-1377

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Interoperability endpoints

  • Direct secure messaging: lisa.sanders.p1@direct.canyonlands.nextgenshare.com

Organizations & group practices 13

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.

View all 13

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1568039386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 N 200 W",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847012114",
            "telephone_number": "435-893-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N 200 W",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847012114",
            "telephone_number": "435-893-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "LISA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R50740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, UT

Sources for this page

Verify at the official NPI Registry.