Individual provider Active NPI

Sabine Dorothea Haas, FNP-BC

  • Family Nurse Practitioner
  • Oakland, CA
National Provider Identifier
1114567500
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013360 Issued in CA
Practice address
1144 65TH St Ste F
Oakland, CA 94608-1053
Phone
(510) 929-1400
Fax
(510) 929-1414
NPI assigned
Jan 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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 95013360 CA Primary

Addresses

Primary practice location

1144 65TH St Ste F
Oakland, CA 94608-1053

Mailing address

1144 65TH St Ste F
Oakland, CA 94608-1053
Phone (510) 929-1400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shaas@withgracehospice.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220523001824 CA Practitioner - Nurse Practitioner 6406233980 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Omar Osman Practice, LLC CurrentSince Jun 17, 2024 Accepting new patients
With Grace Ministries Inc. PastSince Jan 1, 2020 Accepting new patients

Locations

120 Jose Figueres Ave
San Jose, CA 95116
Phone (408) 272-1400

1115 Capitola Rd
Santa Cruz, CA 95062
Phone (831) 475-4055

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

Interoperability endpoints

  • Direct secure messaging: sabine.dorothea@299395540647940.direct.elationemr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1114567500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 65TH ST STE F",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946081053",
            "telephone_number": "510-929-1400",
            "fax_number": "510-929-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 65TH ST STE F",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946081053",
            "telephone_number": "510-929-1400",
            "fax_number": "510-929-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "SABINE",
        "middle_name": "DOROTHEA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shaas@withgracehospice.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1879 Lundy Ave Ste 233",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951311881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.