Active NPI
Sarah Z. Martin, FNP
- Family Nurse Practitioner
- Saint Louis, MO
National Provider Identifier
1003269374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2016025286
- Practice address
- 3844 S Lindbergh Blvd
Saint Louis, MO 63127-1368 - Phone
- (314) 525-0490
- Fax
- (314) 525-0434
- NPI assigned
- Jul 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2016025286 | MO | Primary |
Addresses
Primary practice location
3844 S Lindbergh Blvd
Saint Louis, MO 63127-1368
Mailing address
3844 S Lindbergh Blvd Ste 120
Saint Louis, MO 63127-1369
Phone (314) 525-0490
Other practice location 1
100 Medical Plz
Lake St Louis, MO 63367-1366
Phone (314) 317-0600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016025286 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Physician Services PC | Current | Accepting new patients |
Locations
100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200
10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522
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": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1003269374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3844 S LINDBERGH BLVD STE 120",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631271369",
"telephone_number": "314-525-0490",
"fax_number": "314-525-0434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3844 S LINDBERGH BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631271368",
"telephone_number": "314-525-0490",
"fax_number": "314-525-0434"
}
],
"practiceLocations": [
{
"address_1": "100 Medical Plz",
"address_purpose": "LOCATION",
"city": "Lake St Louis",
"state": "MO",
"postal_code": "633671366",
"country_code": "US",
"telephone_number": "314-317-0600",
"fax_number": "314-317-0606",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "SARAH",
"middle_name": "Z.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-21",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2016025286",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3844 S Lindbergh Blvd",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631271368",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.