Active NPI
Kathy Sands, RN
- Ambulatory Care Registered Nurse
- Winslow, AZ
National Provider Identifier
1861711707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- RN070922
- Practice address
- 500 North Indiana Avenue
Winslow, AZ 86047 - Phone
- (928) 289-4646
- Fax
- (928) 737-6080
- NPI assigned
- May 18, 2010
- 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 | RN070922 | AZ | |
| Ambulatory Care Registered Nurse | 163WP2201X | RN070922 | AZ | Primary |
Addresses
Primary practice location
500 North Indiana Avenue
Winslow, AZ 86047
Mailing address
500 North Indiana Avenue
Winslow, AZ 86047
Phone (928) 289-4646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020529 | Medicaid | AZ |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN070922 | AZ | MD | Ambulatory Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1861711707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NORTH INDIANA AVENUE",
"city": "WINSLOW",
"state": "AZ",
"postal_code": "86047",
"telephone_number": "928-289-4646",
"fax_number": "928-737-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NORTH INDIANA AVENUE",
"city": "WINSLOW",
"state": "AZ",
"postal_code": "86047",
"telephone_number": "928-289-4646",
"fax_number": "928-737-6080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDS",
"first_name": "KATHY",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-18",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN070922",
"primary": false
},
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "AZ",
"license": "RN070922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020529",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winslow, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.