Individual provider Active NPI

Roderick John C. Sanchez, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1891947818
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP3185 Issued in AZ
Practice address
3320 N 3Rd Ave
Phoenix, AZ 85013-4304
Phone
(480) 588-3165
Fax
(480) 588-3169
NPI assigned
Oct 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP3185 AZ Primary

Addresses

Primary practice location

3320 N 3Rd Ave
Phoenix, AZ 85013-4304

Mailing address

3320 N 3Rd Ave
Phoenix, AZ 85013-4304
Phone (480) 588-3165

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100826000278 AZ Practitioner - Nurse Practitioner 4385768498 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP3185AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Medical Systems, PLLC CurrentSince Jun 5, 2023 Accepting new patients
Atlas Medical Systems, PLLC CurrentSince Jun 5, 2023 Accepting new patients

Locations

3320 N 3rd Ave
Phoenix, AZ 85013
Phone (480) 588-3165

Interoperability endpoints

  • Direct secure messaging: roderick.sanchez.p1@direct.lifewell.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1891947818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 N 3RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134304",
            "telephone_number": "480-588-3165",
            "fax_number": "480-588-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N 3RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134304",
            "telephone_number": "480-588-3165",
            "fax_number": "480-588-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "RODERICK JOHN",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP3185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.