Sara Katherine Mullahy, CRNA, ARNP

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

D-110775 Issued in IA

Practice address

105 E Locust St
Bloomfield, IA 52537-1458

Phone

(641) 664-3602

Fax

(641) 664-3765

NPI assigned

Jul 17, 2008

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

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeastern Anesthesia PLLC 83 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Payson Medical Center Hospital, Payson, AZ, CCN 031318

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Northeastern Anesthesia PLLC

  • Anesthesiology Physician
  • Sierra Vista, AZ
  • NPI 1487956504

  AZ, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Knoxville Area Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • Knoxville, IA
  • NPI 1104089275

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Banner Health

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1053575019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525370054",
            "telephone_number": "641-664-3602",
            "fax_number": "641-664-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E LOCUST ST",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371458",
            "telephone_number": "641-664-3602",
            "fax_number": "641-664-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLAHY",
        "first_name": "SARA",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "CRNA, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D-110775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Breck Mathews, RPH
• Amanda E McKinley, CRNA
• Valerie K McKinley, CRNA
• Lloyd Alan Mietzner, DC
• Phoebe Elizabeth Moore, PHARMD
• Beverly Joyce Oliver
• Marty J Owen, CRNA
• Kaden Nicole Porter, PHARMD
• Radiology Associates of Ottumwa, P.C.
• River Hills Community Health Center Inc

• All providers in Bloomfield, IA
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.