Ayisha Sanda, PMHNP-BC, APRN-CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1057466 Issued in TX

Practice address

3330 Matlock Rd Ste 202B
Arlington, TX 76015-2921

Phone

(503) 662-9385

Fax

(503) 782-8301

NPI assigned

Sep 27, 2021

Last updated

Jul 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR, TX, AZ3 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 3

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brightlight Oasis Psychiatry and Counseling PLLCGroup PAC ID 1254717242, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Brightlight Oasis Psychiatry and Counseling PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington, TX
  • NPI 1467106294

  AZ, OR

  Medicare reassignment Care Compare group NPD Authorized official
• Amber Benson Pmhnp PC

  dba Benson Health Clinic

  • Psychiatric/Mental Health Nurse Practitioner
  • Eugene, OR
  • NPI 1912042862
  Medicare reassignment NPD
• Brightlight Home Health LLC

  • Home Health Agency
  • Arlington, TX
  • NPI 1184423832
  NPD

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1659042844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 BRETON DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522525",
            "telephone_number": "503-662-9385",
            "fax_number": "503-782-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 MATLOCK RD STE 202B",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152921",
            "telephone_number": "503-662-9385",
            "fax_number": "503-782-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDA",
        "first_name": "AYISHA",
        "credential": "PMHNP-BC, APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "897183",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202114666RN",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202114948",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1057466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "15458727",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500802692",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julian Sanchez
• Leslie Annette Sanchez, COTA
• Nicolas Sanchez
• Norma Azucena Sanchez
• Sophia Elena Sanchez, LVN
• Brittany Sanders, RBT
• Danielle Sanders, LPC-A
• Emily Mendoza Sanders
• Kelly Dean Sanders, LSA
• Makea Sanders

• Psychiatric/Mental Health Nurse Practitioner in Arlington, TX
• Providers in Arlington, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.