Active NPI
Sonja Earlene Church, CNP
- Family Nurse Practitioner
- Kayenta, AZ
National Provider Identifier
1790073294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 280785
- Practice address
- Hwy 160 M.P. 394.3
Kayenta, AZ 86033 - Phone
- (928) 697-4000
- Fax
- (928) 697-4145
- NPI assigned
- Jul 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN169034 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 280785 | AZ | Primary |
Addresses
Primary practice location
Hwy 160 M.P. 394.3
Kayenta, AZ 86033
Mailing address
PO Box 600
Tuba City, AZ 86045-0600
Phone (928) 283-2501
Other practice location 1
167 North Main Street
Tuba City, AZ 86045-0600
Phone (928) 283-2501
Other names 1
- Sonja Earlene Crank
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)
- Not enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN169034 | AZ | MD | Registered Nurse |
| 280785 | AZ | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1790073294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 600",
"city": "TUBA CITY",
"state": "AZ",
"postal_code": "860450600",
"telephone_number": "928-283-2501",
"fax_number": "928-283-2677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HWY 160 M.P. 394.3",
"city": "KAYENTA",
"state": "AZ",
"postal_code": "86033",
"telephone_number": "928-697-4000",
"fax_number": "928-697-4145"
}
],
"practiceLocations": [
{
"address_1": "167 North Main Street",
"address_purpose": "LOCATION",
"city": "Tuba City",
"state": "AZ",
"postal_code": "860450600",
"country_code": "US",
"telephone_number": "928-283-2501",
"fax_number": "928-283-2677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHURCH",
"first_name": "SONJA",
"middle_name": "EARLENE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-18",
"last_updated": "2023-09-15",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN169034",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "280785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SONJA",
"last_name": "CRANK",
"middle_name": "EARLENE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kayenta, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.