Sara Denise Gaddy, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

260102 Issued in NC

Practice address

207 Sneedsboro Rd
Morven, NC 28119-8419

Phone

(704) 690-2216

NPI assigned

Nov 18, 2021

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1043977580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SNEEDSBORO RD",
            "city": "MORVEN",
            "state": "NC",
            "postal_code": "281198419",
            "telephone_number": "704-690-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SNEEDSBORO RD",
            "city": "MORVEN",
            "state": "NC",
            "postal_code": "281198419",
            "telephone_number": "704-690-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDY",
        "first_name": "SARA",
        "middle_name": "DENISE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "260102",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "823954-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashton Belinda Brown
• Vera Mae Cash
• F&J Community Services, Inc.
• Finding Your Way Homes, Inc
• Finding Your Way Homes, Inc
• Infinity Wellness and Beyond LLC
• Tia Little
• M & N Home Health Care Agency'LLC
• Our Promises Kept Inc
• Support Incorporated

• Registered Nurse in Morven, NC
• Providers in Morven, NC by specialty
• Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.