Individual provider Active NPI

Sarah Baguiwet Souffrant, FNP

  • Family Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1134746233
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145648 Issued in TX
Practice address
3804 S Jackson Rd Ste 2
Edinburg, TX 78539-6683
Phone
(956) 296-3021
Fax
(956) 296-3020
NPI assigned
Jul 6, 2020
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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 AP145648 TX Primary

Addresses

Primary practice location

3804 S Jackson Rd Ste 2
Edinburg, TX 78539-6683

Mailing address

3101 Lazy Lake Dr
Harlingen, TX 78550-7434
Phone (956) 490-0115

Other practice location 1

3101 Lazy Lake Dr
Harlingen, TX 78550-7434
Phone (956) 490-0115

Other identifiers 2

IdentifierTypeStateIssuer
H08PT12201OtherTXBCBS
4258972-01MedicaidTX

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
I20210621001584 TX Practitioner - Nurse Practitioner 5092115535 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
K-Neurology Clinic, PA CurrentSince Jul 22, 2025 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

1402 E 8th St
Weslaco, TX 78596

1402 E 8th St
Ste 1
Weslaco, TX 78596
Phone (956) 332-3400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEHGDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CEHGDD/Endpoint/CEHGDD

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

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1134746233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 LAZY LAKE DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507434",
            "telephone_number": "956-490-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 S JACKSON RD STE 2",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396683",
            "telephone_number": "956-296-3021",
            "fax_number": "956-296-3020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Lazy Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785507434",
            "country_code": "US",
            "telephone_number": "956-490-0115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUFFRANT",
        "first_name": "SARAH",
        "middle_name": "BAGUIWET",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H08PT12201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4258972-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.