Individual provider Active NPI

Kelly D Sahl, NP

  • Family Nurse Practitioner
  • Flagstaff, AZ
National Provider Identifier
1699802637
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
161915 Issued in CO
Practice address
710 N Beaver St
BLDG 6
Flagstaff, AZ 86001-3100
Phone
(978) 527-4325
NPI assigned
Feb 27, 2007
Last updated
Nov 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 161915 CO Primary
Family Nurse Practitioner 363LF0000X AP4428 AZ

Addresses

Primary practice location

710 N Beaver St
BLDG 6
Flagstaff, AZ 86001-3100

Mailing address

710 N Beaver St
BLDG 6
Flagstaff, AZ 86001-3100
Phone (978) 527-4325

Other identifiers 1

IdentifierTypeStateIssuer
015131OtherCOKAISER COMMERCIAL NUMBER

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
I20130729000791 AZ Practitioner - Nurse Practitioner 5395806665 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Einfectionmd PC CurrentSince Feb 5, 2024 Accepting new patients
Az BD of Regents for on Behalf of Northern Az University Past Accepting new patients

Locations

2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248

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, 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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1699802637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N BEAVER ST",
            "address_2": "BLDG 6",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013100",
            "telephone_number": "978-527-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N BEAVER ST",
            "address_2": "BLDG 6",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013100",
            "telephone_number": "978-527-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHL",
        "first_name": "KELLY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "161915",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4428",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "015131",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.