Sara M Rothgeb, MSN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71009308A Issued in IN

Practice address

10228 Dupont Circle Dr E Ste 100
Fort Wayne, IN 46825-1611

Phone

(260) 222-7401

Fax

(260) 209-5956

NPI assigned

Jul 24, 2019

Last updated

Feb 1, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: sara.rothgeb.2@21210.direct.athenahealth.com

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1033763420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772437",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772437",
            "telephone_number": "317-575-7304",
            "fax_number": "317-575-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10228 DUPONT CIRCLE DR E STE 100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251611",
            "telephone_number": "260-222-7401",
            "fax_number": "260-209-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHGEB",
        "first_name": "SARA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28214366A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71009308A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary D Roth, O.D.
• Holly Nicole Rothenbush, LMFT
• Amanda Rothgeb
• Michale Diane Rothgeb, PTA
• Rachael M Rothgeb, DPT
• Peter M Rothman, MD
• Rounding Providers
• Brian H Roush, LMHC
• Jason P Row, MD
• Andrew Rowe

• Nurse Practitioner in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.