Active NPI
Sarah Anne Vidaurri, NP
- Family Nurse Practitioner
- Northglenn, CO
National Provider Identifier
1689283673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.0995942-NP
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN.1617247 | CO | MD | Oncology Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Every Body Health & Wellness, LLC. | Current | Accepting new patients | |
| Every Body Hormones & Aesthetics, LLC. | Current | 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
- 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.
-
- Primary Care Clinic/Center
- Northglenn, CO
- NPI 1326641333
-
- Nurse Practitioner
- Northglenn, CO
- NPI 1255108098
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2021; 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.