Individual provider Active NPI

Sara Jane Mounce, RN

  • Registered Nurse
  • Eau Claire, WI
National Provider Identifier
1053056481
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2466063 Issued in MN
Practice address
915 Fairmont Ave
Eau Claire, WI 54703-5806
Phone
(309) 287-9054
NPI assigned
Apr 29, 2022
Last updated
Apr 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2466063 MN Primary

Addresses

Primary practice location

915 Fairmont Ave
Eau Claire, WI 54703-5806

Mailing address

4319 Eastwood Rd SE
Rochester, MN 55904-5363
Phone (309) 287-9054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2466063MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1053056481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 EASTWOOD RD SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559045363",
            "telephone_number": "309-287-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 FAIRMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035806",
            "telephone_number": "309-287-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNCE",
        "first_name": "SARA",
        "middle_name": "JANE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2466063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.