Sara Admire, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20645 Issued in SC

Practice address

603 Country Gardens Dr
Fountain Inn, SC 29644-3406

Phone

(864) 901-6357

NPI assigned

Dec 13, 2016

Last updated

Dec 13, 2016By the provider in NPPES

Sex

Female

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

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.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1013451855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 COUNTRY GARDENS DR",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296443406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 COUNTRY GARDENS DR",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296443406",
            "telephone_number": "864-901-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADMIRE",
        "first_name": "SARA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "20645",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 360 Durable Medical Supplies & Equipment
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• Araya Counseling Services LLC
• Skylar Simone Ashemore

• Family Nurse Practitioner in Fountain Inn, SC
• Providers in Fountain Inn, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.

Verify at the official NPI Registry.