Individual provider Active NPI

Sandrika L Medlock, PEER SPECIALIST

  • Peer Specialist
  • Maricopa, AZ
National Provider Identifier
1699694364
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
41924 W Michaels Dr
Maricopa, AZ 85138-8649
Phone
(480) 567-6163
NPI assigned
Jul 15, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X AZ
Peer Specialist 175T00000X AZ Primary

Addresses

Primary practice location

41924 W Michaels Dr
Maricopa, AZ 85138-8649

Mailing address

44920 W Hathaway Ave Unit 414
Maricopa, AZ 85139-9924
Phone (480) 567-6163

Other names 1

  • Rising Hands LLC Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1699694364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44920 W HATHAWAY AVE UNIT 414",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851399924",
            "telephone_number": "480-567-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41924 W MICHAELS DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851388649",
            "telephone_number": "480-567-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLOCK",
        "first_name": "SANDRIKA",
        "middle_name": "L",
        "credential": "PEER SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RISING",
            "last_name": "HANDS LLC",
            "credential": "PEER SPECIALIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.