Kurt Sanders, CRNFA

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

RN063926 Issued in AZ

Practice address

11022 E Regal Dr
Sun Lakes, AZ 85248-7918

Phone

(480) 945-3125

Fax

(480) 947-4543

NPI assigned

May 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Scottsdale First Assist, Inc.

  • Medical-Surgical Registered Nurse
  • Sun Lakes, AZ
  • NPI 1821047275

  Medical-Surgical

  NPD Authorized official

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

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1932102472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6555",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852616555",
            "telephone_number": "480-945-3125",
            "fax_number": "480-947-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11022 E REGAL DR",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852487918",
            "telephone_number": "480-945-3125",
            "fax_number": "480-947-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KURT",
        "name_prefix": "Mr.",
        "credential": "CRNFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-28",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "AZ",
            "license": "RN063926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCS PIN",
            "identifier": "368812",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Rinas
• Roger P. Rose, PLLC
• Roger P Rose, DO
• Kent P Saba, DDS
• Saij, LLC
• Melissa Dionne Sandoval, PTA
• Doris Schraner, MA, PHD, LCPC
• Scottsdale First Assist, Inc.
• Ghassan Sheikh Sroujieh, DDS
• Smi Imaging LLC

• All providers in Sun Lakes, AZ
• Medical-Surgical Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.