Sara a. Williams, Nurse Practitioner Primary Care, LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

2015033113 Issued in MO

Legal business name

SARA A. WILLIAMS, NURSE PRACTITIONER PRIMARY CARE, LLC

Practice address

1923 Waybridge LN
Fenton, MO 63026-5425

Phone

(314) 261-6761

NPI assigned

Jun 24, 2016

Organization subpart

No

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

Authorized official

Name

Sara A Williams, AGPCNP-BC

Title

Sole Proprietor/Owner

Phone

(314) 261-6761

Specialties & licenses 1

Addresses

Other names 1

• Sara, NP Primary Care Doing business as

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1154772713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 WAYBRIDGE LN",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630265425",
            "telephone_number": "314-261-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 WAYBRIDGE LN",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630265425",
            "telephone_number": "314-261-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA A. WILLIAMS, NURSE PRACTITIONER PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE PROPRIETOR/OWNER",
        "authorized_official_telephone_number": "314-261-6761",
        "authorized_official_credential": "AGPCNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "2015033113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sara, NP Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha April Saale, PMHNP
• Saferoute Nemt, LLC
• Saint Louis University Dba Mark Herbers, M.D.
• Brooke Salas, FNP-C
• Laura Salter, MSW, LCSW
• Sas Family Psychiatric Consulting LLC
• Erica Lynn Schaeffer, PHARMD
• Marlayna F Schaffer, CRNA
• Maureen Scheibelhut
• Aaron David Schenone, D.O.

• Primary Care Nurse Practitioner in Fenton, MO
• Providers in Fenton, MO by specialty
• Primary Care Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.