Individual provider Active NPI

Sara Elizabeth Hale

  • Nurse Practitioner
  • Longview, TX
National Provider Identifier
1134744410
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1005541 Issued in TX
Practice address
323 E Hawkins Pkwy
Longview, TX 75605-8153
Phone
(903) 758-2746
Fax
(903) 758-7127
NPI assigned
Jun 11, 2020
Last updated
Jan 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1005541 TX Primary

Addresses

Primary practice location

323 E Hawkins Pkwy
Longview, TX 75605-8153

Mailing address

323 E Hawkins Pkwy
Ste a
Longview, TX 75605-8162

Other practice location 1

1806 E End Blvd N
Marshall, TX 75670-0728
Phone (903) 758-2746

Other practice location 2

3133 Good Shepherd Way
Longview, TX 75605-7921
Phone (903) 315-4422

Other identifiers 1

IdentifierTypeStateIssuer
413368801MedicaidTX

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
I20200810003417 TX Practitioner - Nurse Practitioner 0345665170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

3133 Good Shepherd Way
Longview, TX 75605-7921
Phone (903) 315-4422

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1005541TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Longview Orthopaedic Clinic Association CurrentSince Aug 3, 2020 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 1, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 1, 2024 Accepting new patients

Locations

3133 Good Shepherd Way
Longview, TX 75605
Phone (903) 315-4422

323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000

323 E Hawkins Pkwy
Ste A
Longview, TX 75605
Phone (903) 758-2746

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

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

Hospital & facility affiliations 2

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": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1134744410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 E HAWKINS PKWY",
            "address_2": "STE A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756058162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E HAWKINS PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756058153",
            "telephone_number": "903-758-2746",
            "fax_number": "903-758-7127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1806 E End Blvd N",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "TX",
            "postal_code": "756700728",
            "country_code": "US",
            "telephone_number": "903-758-2746",
            "fax_number": "903-758-7127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3133 Good Shepherd Way",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756057921",
            "country_code": "US",
            "telephone_number": "903-315-4422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALE",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1005541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413368801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.