Individual provider Active NPI

Sarah Ware, PN

  • Licensed Practical Nurse
  • Farmington, MO
National Provider Identifier
1073163267
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
2015038661 Issued in MO
Practice address
1565 Sainte Genevieve Ave
Farmington, MO 63640-3454
Phone
(573) 756-5749
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2015038661 MO Primary

Addresses

Primary practice location

1565 Sainte Genevieve Ave
Farmington, MO 63640-3454

Mailing address

PO Box 459
Farmington, MO 63640-0459
Phone (573) 756-5749

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
Advanced Practice Nurse

State licenses

LicenseStateTypeSpecialty
2015038661MOMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Missouri Behavioral Health PastSince Sep 25, 2019 Accepting new patients
Southeast Missouri Behavioral Health Inc PastSince Sep 25, 2019 Accepting new patients

Organizations & group practices 2

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": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1073163267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636400459",
            "telephone_number": "573-756-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 SAINTE GENEVIEVE AVE",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403454",
            "telephone_number": "573-756-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "SARAH",
        "credential": "PN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2015038661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.