Individual provider Active NPI

Sarah Jean Garrison, NP

  • Family Nurse Practitioner
  • Anthem, AZ
National Provider Identifier
1902435795
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
240127 Issued in AZ
Practice address
3624 W Anthem Way Ste C108
Anthem, AZ 85086-0457
Phone
(623) 207-9216
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 240127 AZ Primary

Addresses

Primary practice location

3624 W Anthem Way Ste C108
Anthem, AZ 85086-0457

Mailing address

44633 N Sonoran Arroyo LN
New River, AZ 85087-5822
Phone (612) 306-4200

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
I20200812003611 AZ Practitioner - Nurse Practitioner 5991121568

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240127AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anthem Physical Medicine LLC CurrentSince Apr 15, 2020 Accepting new patients

Locations

3624 W Anthem Way
Ste C110
Anthem, AZ 85086
Phone (623) 551-9950

3624 W Anthem Way
Ste C108
Anthem, AZ 85086
Phone (623) 551-9950

3624 W Anthem Way
Anthem, AZ 85086
Phone (623) 551-9950

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.

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1902435795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44633 N SONORAN ARROYO LN",
            "city": "NEW RIVER",
            "state": "AZ",
            "postal_code": "850875822",
            "telephone_number": "612-306-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 W ANTHEM WAY STE C108",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860457",
            "telephone_number": "623-207-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "SARAH",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "240127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

Verify at the official NPI Registry.