Active NPI
Sarah C Berra, ANP-BC,OCN
- Adult Health Nurse Practitioner
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2000149116
- Practice address
- 14805 N Outer 40 Rd
Suite 320
Chesterfield, MO 63017-6060 - Phone
- (888) 811-4677
- Fax
- (800) 605-8906
- NPI assigned
- Dec 14, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2000149116 | MO | Primary |
Addresses
Primary practice location
14805 N Outer 40 Rd
Suite 320
Chesterfield, MO 63017-6060
Mailing address
14805 N Outer 40 Rd
Suite 320
Chesterfield, MO 63017-6060
Phone (888) 811-4677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000149116 | MO | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialized Wound Management LLC | Adult Health | Current | Accepting new patients |
Locations
200 Health Care Dr
#A
Greenville, IL 62246
1341 Walnut St
Murphysboro, IL 62966
Phone (618) 687-4665
9401 Ridgeland Ave
Oak Lawn, IL 60453
Phone (708) 559-6700
14805 North Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 536-0183
14805 North Outer 40 Rd
Ste 320
Chesterfield, MO 63017
Phone (636) 536-0183
Organizations & group practices 1
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": "1260748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1154650562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14805 N OUTER 40 RD",
"address_2": "SUITE 320",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630176060",
"telephone_number": "888-811-4677",
"fax_number": "800-605-8906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14805 N OUTER 40 RD",
"address_2": "SUITE 320",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630176060",
"telephone_number": "888-811-4677",
"fax_number": "800-605-8906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRA",
"first_name": "SARAH",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "ANP-BC,OCN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-14",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "2000149116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.