Individual provider Active NPI

Sarah Oliver Pate, CRNP

  • Adult Health Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1003100694
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-106258 Issued in AL
Practice address
2731 MLK Jr. Blvd
Tuscaloosa, AL 35401-5235
Phone
(205) 349-3250
Fax
(205) 345-3993
NPI assigned
Jun 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-106258 AL Primary

Addresses

Primary practice location

2731 MLK Jr. Blvd
Tuscaloosa, AL 35401-5235

Mailing address

7700 Highway 69 S
Ste C
Tuscaloosa, AL 35405-8784
Phone (205) 765-8883

Other identifiers 1

IdentifierTypeStateIssuer
1-106258OtherALRN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20111025000470 AL Practitioner - Nurse Practitioner 4486827193 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-106258ALMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Care LLC CurrentSince Oct 29, 2020 Accepting new patients
Crimson Urgent Care, LLC CurrentSince Oct 29, 2020 Accepting new patients
Crimson Care LLC CurrentSince Oct 29, 2020 Accepting new patients

Locations

1251 McFarland Blvd NE
Tuscaloosa, AL 35406
Phone (205) 349-2323

1718 Veterans Memorial Pkwy
Ste A
Tuscaloosa, AL 35404
Phone (205) 507-1100

1718 Veterans Memorial Pkwy
Tuscaloosa, AL 35404
Phone (205) 507-1100

1718 Veterans Memorial Pkwy
Ste C
Tuscaloosa, AL 35404
Phone (205) 553-1900

1771 Skyland Blvd E
Tuscaloosa, AL 35405
Phone (205) 507-1119

Organizations & group practices 3

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": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1003100694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 HIGHWAY 69 S",
            "address_2": "STE C",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354058784",
            "telephone_number": "205-765-8883",
            "fax_number": "205-349-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 MLK JR. BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354015235",
            "telephone_number": "205-349-3250",
            "fax_number": "205-345-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATE",
        "first_name": "SARAH",
        "middle_name": "OLIVER",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-106258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "1-106258",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.