Individual provider Active NPI

Joshua K Sanford

  • Family Nurse Practitioner
  • Siloam Springs, AR
National Provider Identifier
1780148262
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A006065 Issued in AR
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

Updated by the provider on Sep 15, 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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190619002756 AR Practitioner - Nurse Practitioner 5799019071 Reassigns benefits to 5 organizations

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
St. Francis House Nwa, Inc.Group PAC ID 0042262495, 67 clinicians

Practice addresses (Care Compare)

451 S Holly St
Siloam Springs, AR 72761-3018
Phone (479) 524-3141

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians LLC CurrentSince Aug 1, 2019 Accepting new patients
Northwest Physicians LLC CurrentSince Aug 1, 2019 Accepting new patients
St Francis House Nwa, Inc CurrentSince Aug 4, 2025 Accepting new patients
St Francis House Nwa, Inc CurrentSince Aug 4, 2025 Accepting new patients
Siloam Springs Clinic Company LLC Family CurrentSince Jun 1, 2019 Accepting new patients
Northwest Benton County Physician Services LLC CurrentSince Aug 1, 2019 Accepting new patients
Mercy Northwest Arkansas Ambulatory Services LLC CurrentSince Feb 10, 2020 Accepting new patients
St. Francis House Nwa, Inc. Past Accepting new patients
Mercy Health Northwest Arkansas Communities PastSince Feb 1, 2020 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.