Individual provider Active NPI

Sara Rene Decker, BSN, RN

  • Community Health Registered Nurse
  • Columbus, OH
National Provider Identifier
1154049591
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
477495 Issued in OH
Practice address
255 E Main St Ste 2B
Columbus, OH 43215-5222
Phone
(614) 722-8222
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X 477495 OH
Neonatal Intensive Care Registered Nurse 163WN0002X 477495 OH
Pediatric Registered Nurse 163WP0200X 477495 OH
Community Health Registered Nurse 163WC1500X 477495 OH Primary

Addresses

Primary practice location

255 E Main St Ste 2B
Columbus, OH 43215-5222

Mailing address

255 E Main St Ste 2B
Columbus, OH 43215-5222
Phone (614) 722-8222

Other identifiers 1

IdentifierTypeStateIssuer
0009109MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
477495OHMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Children'S Hospital Community Health CurrentSince Oct 29, 2023 Accepting new patients
Nationwide Children'S Hospital PastSince Oct 29, 2023 Accepting new patients

Locations

255 E Main St
Ste 2B
Columbus, OH 43215
Phone (614) 722-8222

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1154049591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E MAIN ST STE 2B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155222",
            "telephone_number": "614-722-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E MAIN ST STE 2B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155222",
            "telephone_number": "614-722-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "SARA",
        "middle_name": "RENE",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "OH",
            "license": "477495",
            "primary": false
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "OH",
            "license": "477495",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "OH",
            "license": "477495",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OH",
            "license": "477495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009109",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.