Individual provider Active NPI

Michelle Sanay

  • Psychiatric/Mental Health Nurse Practitioner
  • Boulder, CO
National Provider Identifier
1750895306
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RXN.0103864-NP Issued in CO
Practice address
8012 Fox Ridge CT
Boulder, CO 80301-5005
Phone
(720) 926-8151
NPI assigned
Nov 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 9284240 FL
Psychiatric/Mental Health Registered Nurse 163WP0808X 1636371 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11001715-APRN FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RXN.0103864-NP CO Primary

Addresses

Primary practice location

8012 Fox Ridge CT
Boulder, CO 80301-5005

Mailing address

8012 Fox Ridge CT
Boulder, CO 80301-5005
Phone (720) 926-8151

Other identifiers 6

IdentifierTypeStateIssuer
APN.0994477OtherCOCO APN
1636371OtherCORN CO
9284240OtherFLFL RN
2018070756OtherANCC
11001715OtherFLAPRN FL
RXN.0103864-NPOtherCODORA RXN-NP

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1636371COMDPsychiatric/Mental Health Registered Nurse
9284240FLMDPsychiatric/Mental Health Registered Nurse
RXN.0103864-NPCOMDPsychiatric/Mental Health Nurse Practitioner
11001715-APRNFLMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1750895306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8012 FOX RIDGE CT",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803015005",
            "telephone_number": "720-926-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 FOX RIDGE CT",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803015005",
            "telephone_number": "720-926-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANAY",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9284240",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CO",
            "license": "1636371",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11001715-APRN",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "RXN.0103864-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO APN",
            "identifier": "APN.0994477",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN CO",
            "identifier": "1636371",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL RN",
            "identifier": "9284240",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2018070756",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN FL",
            "identifier": "11001715",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA RXN-NP",
            "identifier": "RXN.0103864-NP",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.