Individual provider Active NPI

Sarah Anne Vidaurri, NP

  • Family Nurse Practitioner
  • Northglenn, CO
National Provider Identifier
1689283673
Registry record updated Jun 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0995942-NP Issued in CO
Practice address
11684 Huron St Ste 104
Northglenn, CO 80234-2924
Phone
(720) 588-3249
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Registered Nurse 163WX0200X RN.1617247 CO
Family Nurse Practitioner 363LF0000X APN.0995942-NP CO Primary

Addresses

Primary practice location

11684 Huron St Ste 104
Northglenn, CO 80234-2924

Mailing address

11684 Huron St
Ste 104
Northglenn, CO 80234-2924
Phone (720) 588-3249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20210814000205 CO Practitioner - Nurse Practitioner 8224440847

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11684 Huron St
Suite 104
Northglenn, CO 80234-2924

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.1617247COMDOncology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Every Body Health & Wellness, LLC. CurrentSince Dec 1, 2020 Accepting new patients
Every Body Hormones & Aesthetics, LLC. CurrentSince Dec 17, 2023 Accepting new patients

Locations

11684 Huron St
Ste 104
Northglenn, CO 80234
Phone (720) 588-3249

3758 E 104th Ave
Thornton, CO 80233
Phone (970) 444-2892

Interoperability endpoints

  • Direct secure messaging: sarah.vidaurri.1@23883.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": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624665600000",
    "number": "1689283673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11684 HURON ST",
            "address_2": "STE 104",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342924",
            "telephone_number": "720-588-3249",
            "fax_number": "833-468-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11684 HURON ST STE 104",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342924",
            "telephone_number": "720-588-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAURRI",
        "first_name": "SARAH",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "CO",
            "license": "RN.1617247",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0995942-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

Verify at the official NPI Registry.