Sandra Lee Decarlo, DNP, FNP-C, CWOCN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP4593 Issued in AZ

Practice address

9139 W Thunderbird Rd Ste 175
Peoria, AZ 85381-4998

Phone

(623) 776-6133

Fax

(623) 974-3318

NPI assigned

Sep 14, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Valley Integrated Wellness LLC

  • Family Nurse Practitioner
  • Peoria, AZ
  • NPI 1477920064
  Medicare reassignment NPD Authorized official
• Fisher Medical Group LTD

  • Family Medicine Physician
  • Peoria, AZ
  • NPI 1578615977
  NPD (past)

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1831449099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9139 W THUNDERBIRD RD STE 175",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814998",
            "telephone_number": "623-776-6133",
            "fax_number": "623-974-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9139 W THUNDERBIRD RD STE 175",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814998",
            "telephone_number": "623-776-6133",
            "fax_number": "623-974-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECARLO",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C, CWOCN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luyi De Prada, MD
• Gabriella De Santiago
• Haeley Deason, PA-C
• Talia I Debrigida, M.S. BCBA
• Weston Debry, PA-C
• Derek Paul Decora
• Rodames D Dedicatoria, MD
• Dina Dedonato, MSPT
• Bethanie H Deemer, O.D.
• Julia Deen, R. D.

• Family Nurse Practitioner in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.

Verify at the official NPI Registry.