Individual provider Active NPI

Katherine Sanford Stensrud, APRN

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1720628795
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143705 Issued in TX
Practice address
8600 Skyline Dr
Dallas, TX 75243-4198
Phone
(385) 244-5462
Fax
(877) 849-1623
NPI assigned
Jan 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143705 TX Primary

Addresses

Primary practice location

8600 Skyline Dr
Dallas, TX 75243-4198

Mailing address

3917 Clark Pkwy
Plano, TX 75093-8516
Phone (385) 244-5462

Other names 1

  • Katherine Sanford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220519001190 TN Practitioner - Nurse Practitioner 9830527399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NP Health of TN PLLCGroup PAC ID 5395159883, 41 clinicians

Practice addresses (Care Compare)

122 Cavette Hill LN
Knoxville, TN 37934-6674
Phone (865) 777-4000

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NP Health of TN PLLC CurrentSince Apr 1, 2022 Accepting new patients
North Texas Physiatry P.a. PastSince Jan 12, 2020 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

122 Cavette Hill Ln
Knoxville, TN 37934
Phone (865) 777-4000

6500 Kirby Gate Blvd
Memphis, TN 38119
Phone (901) 230-2232

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": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1720628795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 CLARK PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938516",
            "telephone_number": "385-244-5462",
            "fax_number": "877-849-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SKYLINE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434198",
            "telephone_number": "385-244-5462",
            "fax_number": "877-849-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENSRUD",
        "first_name": "KATHERINE",
        "middle_name": "SANFORD",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "SANFORD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.