Active NPI
Joshua K Sanford
- Family Nurse Practitioner
- Siloam Springs, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A006065
- Practice address
- 3721 Highway 412 E Ste B
Siloam Springs, AR 72761-8010 - Phone
- (479) 215-3080
- NPI assigned
- Jan 29, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A006065 | AR | Primary |
Addresses
Primary practice location
3721 Highway 412 E Ste B
Siloam Springs, AR 72761-8010
Mailing address
2012 S Promenade Blvd
Rogers, AR 72758-9073
Phone (479) 616-1485
Other practice location 1
1700 E Quarter Rd
Siloam Springs, AR 72761-4603
Phone (479) 238-1222
Other practice location 2
2012 S Promenade Blvd
Rogers, AR 72758-9073
Phone (479) 616-1485
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kyle.sanford.1@1964.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
451 S Holly St
Siloam Springs, AR 72761-3018
Phone (479) 524-3141
Hospital & facility affiliations
- Oklahoma Healthcare Solutions XI
- Siloam Springs Regional Hospital
- Northwest Medical Center-Springdale
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Physicians LLC | Current | Accepting new patients | |
| Northwest Physicians LLC | Current | Accepting new patients | |
| St Francis House Nwa, Inc | Current | Accepting new patients | |
| St Francis House Nwa, Inc | Current | Accepting new patients | |
| Siloam Springs Clinic Company LLC | Family | Current | Accepting new patients |
| Northwest Benton County Physician Services LLC | Current | Accepting new patients | |
| Mercy Northwest Arkansas Ambulatory Services LLC | Current | Accepting new patients | |
| St. Francis House Nwa, Inc. | Past | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Past | Accepting new patients |
Locations
101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426
3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050
2012 S Promenade Blvd
Rogers, AR 72758
Phone (479) 616-1485
603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000
451 S Holly St
Siloam Springs, AR 72761
Phone (479) 524-3141
3721 Highway 412 E
#B
Siloam Springs, AR 72761
Phone (479) 215-3070
601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742
614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898
Organizations & group practices 9
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.
-
- Federally Qualified Health Center (FQHC)
- West Fork, AR
- NPI 1336986785
-
- Urgent Care Clinic/Center
- Springdale, AR
- NPI 1366922320
-
- Family Medicine Physician
- Bentonville, AR
- NPI 1871553073
-
- Obstetrics Physician
- Springdale, AR
- NPI 1194768721
-
- Internal Medicine Physician
- Siloam Springs, AR
- NPI 1013155431
Family
-
- Durable Medical Equipment & Medical Supplies
- Springdale, AR
- NPI 1205137536
-
- Federally Qualified Health Center (FQHC)
- Elkins, AR
- NPI 1578214615
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Federally Qualified Health Center (FQHC)
- Rogers, AR
- NPI 1710160098
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
-
- General Acute Care Hospital
- Siloam Springs, AR
- NPI 1902051816
-
- Home Health Agency
- Gore, OK
- NPI 1255641155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1780148262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 S PROMENADE BLVD",
"city": "ROGERS",
"state": "AR",
"postal_code": "727589073",
"telephone_number": "479-616-1485",
"fax_number": "479-239-0536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3721 HIGHWAY 412 E STE B",
"city": "SILOAM SPRINGS",
"state": "AR",
"postal_code": "727618010",
"telephone_number": "479-215-3080"
}
],
"practiceLocations": [
{
"address_1": "1700 E Quarter Rd",
"address_purpose": "LOCATION",
"city": "Siloam Springs",
"state": "AR",
"postal_code": "727614603",
"country_code": "US",
"telephone_number": "479-238-1222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2012 S Promenade Blvd",
"address_purpose": "LOCATION",
"city": "Rogers",
"state": "AR",
"postal_code": "727589073",
"country_code": "US",
"telephone_number": "479-616-1485",
"fax_number": "479-239-0536",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANFORD",
"first_name": "JOSHUA",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-29",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A006065",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kyle.sanford.1@1964.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR Direct Address",
"address_1": "3721 Highway 412 E Ste B",
"city": "Siloam Springs",
"state": "AR",
"country_code": "US",
"postal_code": "727618010",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Siloam Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.