Sarah Blankenheimer
Sarah Bukshpan · Nurse Practitioner

Address: 1300 N 12th St Ste 612, Phoenix, AZ 85006
Phone: 6025213000

Sarah Blankenheimer (NPI# 1265940415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1265940415
Entity Type Individual
Full Name Sarah Blankenheimer
Other Name Sarah Bukshpan
Credential FNP-C
Gender Female
Practice Address 1300 N 12th St Ste 612
Phoenix
AZ 85006
Practice Telephone 6025213000
Mailing Address 1300 N 12th St Ste 612
Phoenix
AZ 85006-2850
Mailing Telephone 6025213000
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2018-01-22
Last Update Date 2019-02-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 163W00000X Registered Nurse Nursing Service Providers RN168011 AZ
Yes 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers AP11211 AZ

Secondary Practice Locations

Address Telephone Number Fax Number
2521 E Hazelwood St, Phoenix, AZ 850164915 6024780313

Physician Overview

NPI 1265940415
PAC ID by PECOS 8628333564
Professional Enrollment ID I20180524002756
Full Name Sarah Y Blankenheimer
Organization Legal Name BANNER-UNIVERSITY PHYSICIAN SPECIALISTS LLC
Phone Number 6025213000
Gender F
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 5991008054
Number of Group Practice Members 204
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
030002 BANNER - UNIVERSITY MEDICAL CENTER PHOENIX

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1821690157 Kristal L. Davis Nurse Practitioner 3905 N 7th Ave # 33490, Phoenix, AZ 85013-3368 2020-11-11
1992322168 Tessie Leigh Eberhart Nurse Practitioner 6025 N 27th Ave Ste 6, Phoenix, AZ 85017-1764 2020-07-02
1952927048 John Leo Conway Jr. Nurse Practitioner 1705 E Claremont St, Phoenix, AZ 85016-1514 2020-06-24
1902434855 Alyssa Young Nurse Practitioner 3033 N 34th Pl, Phoenix, AZ 85018-6903 2020-03-27
1124667175 Jennifer Leigh Hanisch Nurse Practitioner 7314 S 26th Ln, Phoenix, AZ 85041-6475 2019-12-21
1295370179 Jessica Anne Harper Nurse Practitioner 4141 N 32nd St Ste 104, Phoenix, AZ 85018-4775 2019-11-14
1134764590 Rachael Bennett Nurse Practitioner 14001 N 7th St Ste F111, Phoenix, AZ 85022-4382 2019-11-08
1720621410 Cynthia Chebator Nurse Practitioner 3233 W Peoria Ave Ste 106&120, Phoenix, AZ 85029-4614 2019-10-24
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Office Location

Street Address 1300 N 12TH ST STE 612
City PHOENIX
State AZ
Zip Code 85006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174155097 Lori Cannon Nurse Practitioner 1300 N 12th St Ste 612, Phoenix, AZ 85006-2850 2020-02-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356949929 Teresa Louise Cox Pharmacist 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 2020-10-15
1558985036 Amanda Stanford Nurse Practitioner 925 E Mc Dowell Rd, Phoenix, AZ 85006 2020-06-01
1023638582 Supraja Prakash Genetic Counselor, MS 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 2020-04-24
1760017099 Phoenix Medical Psychiatric Hospital, LLC Psychiatric Hospital 1346 Mcdowell Road, Phoenix, AZ 85006 2020-03-06
1265093108 Zulianna Ibrahim Student in an Organized Health Care Education/Training Program Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 2019-06-21
1306318340 Leah Margaret Hillier Family Medicine 1300 N 12th St - Suite 500, Phoenix, AZ 85006 2018-12-31
1477032357 Joann Moskop Chiropractor 2719 N Greenfield Rd., Phoenix, AZ 85006 2018-08-10
1619464468 Ana Maria Lara Naturopath 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 2018-04-17
1194221770 Nisha Bharat Patel Student in an Organized Health Care Education/Training Program Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 2018-04-03
1710486352 Julia Cyr Registered Nurse 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 2018-02-09
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Competitor

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City PHOENIX
Zip Code 85006

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.