Active NPI
Sarah White
- Physician Assistant
- Draper, UT
National Provider Identifier
1073183620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 13009461-1206
- Practice address
- 11576 S State St Ste 101B
Draper, UT 84020-7126 - Phone
- (801) 999-8252
- NPI assigned
- Jun 27, 2021
- Last updated
- Jan 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 13009461-1206 | UT | Primary |
Addresses
Primary practice location
11576 S State St Ste 101B
Draper, UT 84020-7126
Mailing address
221 N 450 E
American Fork, UT 84003-2160
Phone (702) 526-1196
Other practice location 1
750 W 800 N
Orem, UT 84057-3660
Phone (801) 714-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13009461-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ma Bo Inc | Current | Accepting new patients | |
| Trevecca Nazarene University | Past | Accepting new patients |
Locations
466 E 500 S
Ste 200
Salt Lake Cty, UT 84111
Phone (801) 485-5055
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1578598199
-
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1588185581
-
- Local Education Agency (LEA)
- Nashville, TN
- NPI 1033407952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1073183620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 N 450 E",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840032160",
"telephone_number": "702-526-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11576 S STATE ST STE 101B",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207126",
"telephone_number": "801-999-8252"
}
],
"practiceLocations": [
{
"address_1": "750 W 800 N",
"address_purpose": "LOCATION",
"city": "Orem",
"state": "UT",
"postal_code": "840573660",
"country_code": "US",
"telephone_number": "801-714-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-27",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "13009461-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.