Individual provider Active NPI

Sarah McLean, PHD, RN, MDIV, MAPT

  • Registered Nurse
  • Charlotte, NC
National Provider Identifier
1093901514
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
100524 Issued in GA
Practice address
4911 Charlton LN
Charlotte, NC 28210-3377
Phone
(770) 843-5514
Fax
(770) 783-5020
NPI assigned
Sep 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 100524 GA Primary

Addresses

Primary practice location

4911 Charlton LN
Charlotte, NC 28210-3377

Mailing address

4911 Charlton LN
Charlotte, NC 28210-3377
Phone (770) 376-0504

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
Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
100524GAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1093901514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 CHARLTON LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103377",
            "telephone_number": "770-376-0504",
            "fax_number": "770-783-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 CHARLTON LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103377",
            "telephone_number": "770-843-5514",
            "fax_number": "770-783-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "SARAH",
        "name_prefix": "Ms.",
        "credential": "PHD, RN, MDIV, MAPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "100524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.