Individual provider Active NPI

Sara Mary Damata, DNP, WHNP, MSN, RN

  • Women's Health Nurse Practitioner
  • Waltham, MA
National Provider Identifier
1134960842
Registry record updated Mar 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN2363256 Issued in MA
Practice address
130 Second Ave
Waltham, MA 02451-1158
Phone
(888) 300-2483
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN2363256 MA Primary
Registered Nurse 163W00000X RN2363256 MA

Addresses

Primary practice location

130 Second Ave
Waltham, MA 02451-1158

Mailing address

34 Salvia Dr
Milford, MA 01757-1841
Phone (508) 808-4299

Other names 1

  • Sara Mary Dilbarian Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241224000784 MA Order and Referring Only - Nurse Practitioner 5597292961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2363256MAMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772323200000",
    "number": "1134960842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SALVIA DR",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571841",
            "telephone_number": "508-808-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SECOND AVE",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511158",
            "telephone_number": "888-300-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMATA",
        "first_name": "SARA",
        "middle_name": "MARY",
        "credential": "DNP, WHNP, MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2026-03-01",
        "certification_date": "2026-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN2363256",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2363256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "DILBARIAN",
            "middle_name": "MARY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.