Individual provider Active NPI

Sandra Carolina Soto, FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1689193534
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10176 Issued in AZ
Practice address
6320 W Union Hills Dr Ste 2800B
Glendale, AZ 85308-1380
Phone
(623) 322-4991
NPI assigned
Sep 12, 2017
Last updated
Sep 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2017

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 AP10176 AZ Primary

Addresses

Primary practice location

6320 W Union Hills Dr Ste 2800B
Glendale, AZ 85308-1380

Mailing address

6320 W Union Hills Dr Ste 2800B
Glendale, AZ 85308-1380

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
I20171113002352 AZ Practitioner - Nurse Practitioner 1456617117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group Arizona LLCGroup PAC ID 3173872835, 152 clinicians

Practice addresses (Care Compare)

13014 W Camelback Rd
Suite 102
Litchfield Park, AZ 85340-3079
Phone (602) 755-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Healthcare of Arizona, Inc. CurrentSince Oct 10, 2022 Accepting new patients
Summit Medical Group Arizona LLC CurrentSince Jan 19, 2026 Accepting new patients
Cigna Health Care of Arizona Inc. CurrentSince Oct 10, 2022 Accepting new patients

Locations

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

13014 W Camelback Rd
Ste 102
Litchfield Park, AZ 85340
Phone (518) 894-3585

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

3003 N 3rd St
Phoenix, AZ 85012
Phone (602) 282-9800

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

8888 E Raintree Dr
Ste 300
Scottsdale, AZ 85260
Phone (602) 328-8400

Interoperability endpoints

  • Direct secure messaging: ssoto34462@evernorth.direct-ci.com
  • Direct secure messaging: sandra.soto.p1@direct.nvfm.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505174400000",
    "number": "1689193534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE 2800B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE 2800B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081380",
            "telephone_number": "623-322-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "SANDRA",
        "middle_name": "CAROLINA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2017-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.