Individual provider Active NPI

Sabra Leigh Tieperman, RN ARNP

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Newton, KS
National Provider Identifier
1053395228
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
53-74804-102 Issued in KS
Practice address
821 Westridge Dr
Newton, KS 67114-1670
Phone
(620) 755-4235
Fax
(833) 449-0970
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 53-74804-102 KS Primary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X 53-74804-102 KS
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 53-74804-102 KS
Chronically Ill Psychiatric/Mental Health Clinical Nurse Specialist 364SP0811X 53-74804-102 KS
Community Psychiatric/Mental Health Clinical Nurse Specialist 364SP0812X 53-74804-102 KS
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist 364SP0813X 53-74804-102 KS

Addresses

Primary practice location

821 Westridge Dr
Newton, KS 67114-1670

Mailing address

821 Westridge Dr
Newton, KS 67114-1670
Phone (620) 755-4235

Other identifiers 1

IdentifierTypeStateIssuer
30004436160004MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101013000098 KS Practitioner - Certified Clinical Nurse Specialist (CNS) 5890811996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

502 W Main St
Sterling, KS 67579-2002
Phone (620) 755-4235

821 Westridge Dr
Newton, KS 67114-1670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Registered Nurse

State licenses

LicenseStateTypeSpecialty
53-74804-102KSMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pawnee Mental Health Service, Inc. CurrentSince Mar 14, 2018 Accepting new patients
Virtual Psychiatric Services Psychiatric/Mental Health, Adult CurrentSince Jul 16, 2023 Accepting new patients
Pawnee Mental Health Service, Inc. CurrentSince Mar 14, 2018 Accepting new patients

Locations

814 Caroline Ave
Junction City, KS 66441
Phone (785) 762-5250

2001 Claflin Rd
Manhattan, KS 66502

406 N 3rd St
Ste 3
Marysville, KS 66508
Phone (785) 562-3907

Interoperability endpoints

  • Direct secure messaging: sabra.tieperman.1@28335.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1053395228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 WESTRIDGE DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671141670",
            "telephone_number": "620-755-4235",
            "fax_number": "833-449-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 WESTRIDGE DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671141670",
            "telephone_number": "620-755-4235",
            "fax_number": "833-449-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEPERMAN",
        "first_name": "SABRA",
        "middle_name": "LEIGH",
        "credential": "RN ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "KS",
            "license": "53-74804-102",
            "primary": true
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "KS",
            "license": "53-74804-102",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-74804-102",
            "primary": false
        },
        {
            "code": "364SP0811X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Chronically Ill",
            "state": "KS",
            "license": "53-74804-102",
            "primary": false
        },
        {
            "code": "364SP0812X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": "KS",
            "license": "53-74804-102",
            "primary": false
        },
        {
            "code": "364SP0813X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": "KS",
            "license": "53-74804-102",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004436160004",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.