Individual provider Active NPI

Vanessa D Sanchez, APRN, FNP-BC

  • Nurse Practitioner
  • Newton, KS
National Provider Identifier
1619629631
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-80559-121 Issued in KS
Practice address
2305 S. Kansas Avenue, Suite 104
Newton, KS 67114
Phone
(316) 323-1530
Fax
(316) 323-1536
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-80559-121 KS Primary

Addresses

Primary practice location

2305 S. Kansas Avenue, Suite 104
Newton, KS 67114

Mailing address

425 Wheatridge CT
Newton, KS 67114-9023
Phone (316) 727-6462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, TX2 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
I20220510002259 KS Practitioner - Nurse Practitioner 3779960844 Reassigns benefits to 1 organization
I20250708000528 TX Practitioner - Nurse Practitioner 3779960844 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arctic Slope Native Association LTD Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vanessa.sanchez.1@23654.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1619629631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 WHEATRIDGE CT",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149023",
            "telephone_number": "316-727-6462",
            "fax_number": "316-323-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 S. KANSAS AVENUE, SUITE 104",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "67114",
            "telephone_number": "316-323-1530",
            "fax_number": "316-323-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "VANESSA",
        "middle_name": "D",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-80559-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.