Active NPI
Sarah Maria Kogut, RN
- Registered Nurse
- Goodyear, AZ
National Provider Identifier
1871189944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 218292
- Practice address
- 2840 N Dysart Rd
Goodyear, AZ 85395-2338 - Phone
- (623) 536-5310
- NPI assigned
- Dec 14, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 218292 | AZ | Primary |
Addresses
Primary practice location
2840 N Dysart Rd
Goodyear, AZ 85395-2338
Mailing address
2526 E Rockledge Rd
Phoenix, AZ 85048-9174
Phone (480) 528-5622
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | EPIC |
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 |
|---|---|---|---|
| 218292 | AZ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona CVS Stores LLC | Current | Accepting new patients |
Locations
2840 N Dysart Rd
Goodyear, AZ 85395
Phone (623) 536-5309
Organizations & group practices 1
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.
-
- Pharmacy
- Goodyear, AZ
- NPI 1669576559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1871189944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2526 E ROCKLEDGE RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850489174",
"telephone_number": "480-528-5622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2840 N DYSART RD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952338",
"telephone_number": "623-536-5310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOGUT",
"first_name": "SARAH",
"middle_name": "MARIA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-14",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "218292",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "EPIC",
"affiliation": "N",
"address_1": "2840 N Dysart Rd",
"city": "Goodyear",
"state": "AZ",
"country_code": "US",
"postal_code": "853952338",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.