Active NPI
Sara Beth Edge, ARNP
- Family Nurse Practitioner
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30007574
- Practice address
- 235 E Rowan Ave Ste 102
Spokane, WA 99207-1240 - Phone
- (509) 489-2101
- NPI assigned
- Jan 16, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | AP30007574 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP30007574 | WA | Primary |
| Nurse Practitioner | 363L00000X | AP30007574 | WA |
Addresses
Primary practice location
235 E Rowan Ave Ste 102
Spokane, WA 99207-1240
Mailing address
235 E Rowan Ave Ste 102
Spokane, WA 99207-1240
Phone (509) 489-2101
Other practice location 1
107 S Division St
Spokane, WA 99202-1510
Phone (509) 838-4651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
235 E Rowan Ave
Suite 102
Spokane, WA 99207-1240
Phone (509) 489-2101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30007574 | WA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontier Behavioral Health | Nurse Practitioner | Current | Accepting new patients |
| North Spokane Womens Health PS | Current | Accepting new patients | |
| Womanhealth P.S | Past | Accepting new patients | |
| Rockwood Clinic PS | Past | Accepting new patients |
Locations
107 S Division St
Spokane, WA 99202
Phone (509) 383-4651
235 E Rowan Ave
Ste 102
Spokane, WA 99207
Phone (509) 489-2101
Interoperability endpoints
- sara.edge.1@31722.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Obstetrics Physician
- Spokane, WA
- NPI 1821100132
-
- Community/Behavioral Health Agency
- Spokane, WA
- NPI 1861495327
Nurse Practitioner
-
- Durable Medical Equipment & Medical Supplies
- Spokane, WA
- NPI 1558760470
-
- Specialist
- Spokane, WA
- NPI 1245443449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1003967720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 E ROWAN AVE STE 102",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992071240",
"telephone_number": "509-489-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 E ROWAN AVE STE 102",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992071240",
"telephone_number": "509-489-2101"
}
],
"practiceLocations": [
{
"address_1": "107 S Division St",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992021510",
"country_code": "US",
"telephone_number": "509-838-4651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDGE",
"first_name": "SARA",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "WA",
"license": "AP30007574",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30007574",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30007574",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.