Individual provider Active NPI

Sarah Jayne Hathcock, M.D.

  • Pediatrics Physician
  • Greeley, CO
National Provider Identifier
1104116300
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DR.0059037 Issued in CO
Practice address
100 N 11TH Ave
Greeley, CO 80631-2011
Phone
(970) 352-8898
Fax
(970) 352-8898
NPI assigned
Apr 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.206770 LA
Pediatrics Physician 208000000X DR.0059037 CO Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

100 N 11TH Ave
Greeley, CO 80631-2011

Mailing address

100 N 11TH Ave
Greeley, CO 80631-2011
Phone (970) 352-8898

Other identifiers 1

IdentifierTypeStateIssuer
9000155574MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171207002291 CO Practitioner - Pediatric Medicine 1759508435 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.206770LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Community Health CurrentSince Sep 1, 2025 Accepting new patients
Sunrise Community Health CurrentSince Sep 1, 2025 Accepting new patients
Sunrise Community Health Current Accepting new patients

Locations

1400 37th St
Evans, CO 80620
Phone (970) 348-1112

2930 11th Ave
Evans, CO 80620
Phone (970) 350-4606

100 N 11th Ave
Greeley, CO 80631
Phone (970) 347-2384

302 3rd St SE
Ste 150
Loveland, CO 80537
Phone (970) 669-4855

Interoperability endpoints

  • Direct secure messaging: sarah.hathcock@95007162564612.direct.elationemr.com
  • Direct secure messaging: sarah.hathcock.1@27043.direct.athenahealth.com

Organizations & group practices 3

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": "1302393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1104116300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N 11TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806312011",
            "telephone_number": "970-352-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 11TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806312011",
            "telephone_number": "970-352-8898",
            "fax_number": "970-352-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHCOCK",
        "first_name": "SARAH",
        "middle_name": "JAYNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-10",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.206770",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0059037",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000155574",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.