Individual provider Active NPI

Angela Sattler, RN

  • Infusion Therapy Registered Nurse
  • Coeur D Alene, ID
National Provider Identifier
1699314633
Registry record updated Dec 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
License
38463 Issued in ID
Practice address
515 N 4TH St Ste 2
Coeur D Alene, ID 83814-2927
Phone
(208) 930-6823
NPI assigned
Dec 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered Nurse 163WI0500X 38463 ID Primary

Addresses

Primary practice location

515 N 4TH St Ste 2
Coeur D Alene, ID 83814-2927

Mailing address

3643 W Pineridge Dr
Coeur D Alene, ID 83815-8094
Phone (208) 699-9470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
38463IDMDInfusion Therapy Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Aesthetics and IV Hydration Bar Infusion Therapy CurrentSince Dec 29, 2019 Accepting new patients

Locations

515 N 4th St
Ste 2
Coeur D Alene, ID 83814
Phone (208) 930-6823

Organizations & group practices 1

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": "1576886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576886400000",
    "number": "1699314633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3643 W PINERIDGE DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158094",
            "telephone_number": "208-699-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N 4TH ST STE 2",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142927",
            "telephone_number": "208-930-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTLER",
        "first_name": "ANGELA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-21",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "ID",
            "license": "38463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.