Sara A Mishek

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1020 Buddy Holly PL
Clear Lake, IA 50428-3735

Phone

(641) 231-2984

NPI assigned

Jul 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sara A Muth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1154738904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SW 1ST ST",
            "city": "EAGLE GROVE",
            "state": "IA",
            "postal_code": "505332203",
            "telephone_number": "402-278-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 BUDDY HOLLY PL",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504283735",
            "telephone_number": "641-231-2984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6902 Pine St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681062855",
            "country_code": "US",
            "telephone_number": "402-559-8863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "444 S 44th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681313727",
            "country_code": "US",
            "telephone_number": "402-559-6683",
            "fax_number": "402-559-5737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISHEK",
        "first_name": "SARA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "MUTH",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Behavior Analyst in Clear Lake, IA
• Providers in Clear Lake, IA by specialty
• Behavior Analyst in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.