Individual provider Active NPI

Sara Trimble, DC, LMT

  • Chiropractor
  • Edwardsport, IN
National Provider Identifier
1154819399
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003066A Issued in IN
Practice address
301 E State Road 58
Edwardsport, IN 47528-8178
Phone
(812) 486-9298
NPI assigned
Apr 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X 08003066A IN
Massage Therapist 225700000X 2016010644 MO
Massage Therapist 225700000X MT21605745 IN
Chiropractor 111N00000X 08003066A IN Primary

Addresses

Primary practice location

301 E State Road 58
Edwardsport, IN 47528-8178

Mailing address

PO Box 258
Freelandville, IN 47535-0258
Phone (812) 486-9298

Other names 1

  • Sara Buchanan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240124004251 IN Practitioner - Chiropractic 7012360191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 E State Rd
Suite 58
Edwardsport, IN 47528-8178
Phone (812) 486-9298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08003066AINMDChiropractor
MT21605745INMDMassage Therapist
2016010644MOMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnessfirst of Sullivan Chiropractor CurrentSince Jan 23, 2024 Accepting new patients
Hands on Healing Chiropractic LLC Chiropractor CurrentSince Jun 16, 2024 Accepting new patients

Locations

301 E State Road 58
Edwardsport, IN 47528
Phone (812) 486-9298

222 W Beech St
Sullivan, IN 47882
Phone (812) 268-3400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1154819399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 258",
            "city": "FREELANDVILLE",
            "state": "IN",
            "postal_code": "475350258",
            "telephone_number": "812-486-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E STATE ROAD 58",
            "city": "EDWARDSPORT",
            "state": "IN",
            "postal_code": "475288178",
            "telephone_number": "812-486-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMBLE",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "DC, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "IN",
            "license": "08003066A",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2016010644",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT21605745",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003066A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "BUCHANAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edwardsport, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.