Individual provider Active NPI

Sara M Reeves, FNP

  • Family Nurse Practitioner
  • Flagstaff, AZ
National Provider Identifier
1093147449
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TAP5038 Issued in AZ
Practice address
1515 E Cedar Ave Ste a-3
Flagstaff, AZ 86004-1630
Phone
(928) 774-2788
Fax
(928) 774-0123
NPI assigned
Aug 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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 TAP5038 AZ Primary

Addresses

Primary practice location

1515 E Cedar Ave Ste a-3
Flagstaff, AZ 86004-1630

Mailing address

1515 E Cedar Ave Ste a-3
Flagstaff, AZ 86004-1630
Phone (928) 774-2788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20140319001060 AZ Practitioner - Nurse Practitioner 5698906469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Flagstaff Family Medicine LLCGroup PAC ID 3971733296, 4 clinicians

Practice addresses (Care Compare)

1515 E Cedar Ave
Suite a 3
Flagstaff, AZ 86004-1630
Phone (928) 774-2788

Hospital & facility affiliations

  • Angels Care Home Health of Arizona No 5 Home health agency, Flagstaff, AZ, CCN 037500
  • Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TAP5038AZMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: sreeves@eastflagfamilymed.gwaydirect.com
  • Direct secure messaging: sara.reeves.1@29497.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1093147449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E CEDAR AVE STE A-3",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041630",
            "telephone_number": "928-774-2788",
            "fax_number": "928-774-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E CEDAR AVE STE A-3",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041630",
            "telephone_number": "928-774-2788",
            "fax_number": "928-774-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "SARA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP5038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.