Individual provider Active NPI

Sarah Dubose, FNP

  • Family Nurse Practitioner
  • Port Arthur, TX
National Provider Identifier
1083072219
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130187 Issued in TX
Practice address
3320 Central Mall Drive
Port Arthur, TX 77642-8037
Phone
(409) 729-7900
Fax
(409) 727-5277
NPI assigned
Feb 2, 2016
Last updated
Nov 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130187 TX Primary

Addresses

Primary practice location

3320 Central Mall Drive
Port Arthur, TX 77642-8037

Mailing address

3220 Central Mall Dr
Port Arthur, TX 77642-8037
Phone (409) 729-7900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sarah.dubose.np@outlook.com Direct Sarah DuBose, APRN, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160420002505 TX Practitioner - Nurse Practitioner 6901104132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Dubose, Aprn, PLLC Family CurrentSince Nov 21, 2021 Accepting new patients
Marian Tan Medical Group LTD LLP PastSince Nov 21, 2021 Accepting new patients

Locations

3220 Central Mall Dr
Port Arthur, TX 77642
Phone (409) 729-7900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEAGAA/Endpoint/IEAGAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1083072219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 CENTRAL MALL DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428037",
            "telephone_number": "409-729-7900",
            "fax_number": "409-727-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 CENTRAL MALL DRIVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428037",
            "telephone_number": "409-729-7900",
            "fax_number": "409-727-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOSE",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah.dubose.np@outlook.com",
            "affiliation": "Y",
            "affiliationName": "Sarah DuBose, APRN, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3220 Central Mall Dr",
            "city": "Port Arthur",
            "state": "TX",
            "country_code": "US",
            "postal_code": "776428037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.