Individual provider Active NPI

Sasha Lee

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1831621119
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
233469 Issued in AZ
Practice address
2201 E Camelback Rd Ste 101a
Phoenix, AZ 85016-3495
Phone
(602) 218-4075
NPI assigned
Mar 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X C-APN.0003377-C-NP CO
Nurse Practitioner 363L00000X AP61251855 WA
Nurse Practitioner 363L00000X 209015821 IL
Nurse Practitioner 363L00000X 233469 AZ Primary

Addresses

Primary practice location

2201 E Camelback Rd Ste 101a
Phoenix, AZ 85016-3495

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

4527 N 16th St Ste 104
Phoenix, AZ 85016-5353
Phone (602) 845-8000

Other identifiers 1

IdentifierTypeStateIssuer
1831621119MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Sasha.lee@bannerhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170928000018 IL Practitioner - Nurse Practitioner 0941574099 Reassigns benefits to 2 organizations
I20200129001770 AZ Practitioner - Nurse Practitioner 0941574099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Openloop Healthcare Partners PCGroup PAC ID 2668871898, 47 clinicians

Practice addresses (Care Compare)

18198 W Hope Dr
Goodyear, AZ 85338-5595
Phone (304) 225-2500

Hospital & facility affiliations

  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233469AZMDNurse Practitioner
C-APN.0003377-C-NPCOMDNurse Practitioner
209015821ILMDNurse Practitioner
AP61251855WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical Consultations LTD CurrentSince Dec 5, 2018 Accepting new patients
Minuteclinic LLC Nurse Practitioner CurrentSince Nov 30, 2020 Accepting new patients
E Mediate Cure LLC CurrentSince May 12, 2024 Accepting new patients
Openloop Healthcare Partners PC Nurse Practitioner CurrentSince Mar 1, 2025 Accepting new patients
E Mediate Cure LLC CurrentSince Apr 3, 2019 Accepting new patients
A Plus Healthcare Management LLC Nurse Practitioner Current Accepting new patients
Openloop Healthcare Partners California PC Nurse Practitioner Past Accepting new patients
Openloop Healthcare Partners New Jersey PC Nurse Practitioner Past Accepting new patients

Locations

9360 Glacier Hwy
Ste 202
Juneau, AK 99801
Phone (703) 722-6955

28138 N Tatum Blvd
Cave Creek, AZ 85331
Phone (480) 585-6097

2840 N Dysart Rd
Goodyear, AZ 85395
Phone (623) 536-5309

3707 E Southern Ave
Fl 1
Mesa, AZ 85206
Phone (843) 341-9355

3707 E Southern Ave
#1
Mesa, AZ 85206
Phone (424) 387-6806

1610 E Camelback Rd
Phoenix, AZ 85016
Phone (602) 277-1727

10650 N Oracle Rd
Tucson, AZ 85737
Phone (520) 544-5544

2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937

1600 Broadway
Ste 1600
Denver, CO 80202
Phone (970) 592-8970

1015 15th St NW
Ste 1000
Washington, DC 20005
Phone (833) 815-2200

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

715 W Lake St
Ste 104
Addison, IL 60101
Phone (630) 366-6681

1508 Essington Rd
Ste 5
Joliet, IL 60435
Phone (815) 733-5952

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

1039 Brook Forest Ave
Shorewood, IL 60404
Phone (815) 681-7733

1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501

101 Hudson St
Jersey City, NJ 07302
Phone (516) 432-3800

2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311

80 Broad St
Fl 5
New York, NY 10004
Phone (201) 286-1122

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501

180 N University Ave
Ste 270
Provo, UT 84601
Phone (385) 469-3731

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

1908 Thomes Ave
Cheyenne, WY 82001

Interoperability endpoints

  • Direct secure messaging: sasha.lee.1@30520.direct.athenahealth.com
  • Direct secure messaging: sasha.lee.1@29786.direct.athenahealth.com

Organizations & group practices 8

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1831621119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 E CAMELBACK RD STE 101A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163495",
            "telephone_number": "602-218-4075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4527 N 16th St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850165353",
            "country_code": "US",
            "telephone_number": "602-845-8000",
            "fax_number": "600-845-8001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0003377-C-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61251855",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209015821",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "233469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831621119",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Sasha.lee@bannerhealth.com",
            "affiliation": "N",
            "address_1": "4527 N 16th St Ste 104",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850165353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.