Individual provider Active NPI

Sarah C Owen, ARNP

  • Family Nurse Practitioner
  • Oak Harbor, WA
National Provider Identifier
1154842680
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60872410 Issued in WA
Practice address
275 SE Cabot Dr Ste A3
Oak Harbor, WA 98277
Phone
(360) 682-5024
Fax
(360) 682-5749
NPI assigned
Jul 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60872410 WA Primary

Addresses

Primary practice location

275 SE Cabot Dr Ste A3
Oak Harbor, WA 98277

Mailing address

275 SE Cabot Dr Ste A3
Oak Harbor, WA 98277-3740
Phone (360) 682-5024

Other practice location 1

14 W Jordan St
Pensacola, FL 32501-1736
Phone (850) 436-4630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170831002082 FL Practitioner - Nurse Practitioner 9436422169 Reassigns benefits to 1 organization
I20190318002282 WA Practitioner - Nurse Practitioner 9436422169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Dermatology and Spa LLCGroup PAC ID 4981087863, 2 clinicians

Practice addresses (Care Compare)

3298 Summit Blvd
Suite 12
Pensacola, FL 32503-4350
Phone (850) 746-0650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Dermatology and Spa LLC CurrentSince Jan 1, 2023 Accepting new patients
Family Dermatology Co CurrentSince Nov 11, 2018 Accepting new patients

Locations

3298 Summit Blvd
Ste 12
Pensacola, FL 32503
Phone (850) 518-3881

275 SE Cabot Dr
Ste A3
Oak Harbor, WA 98277
Phone (360) 682-5024

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154842680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SE CABOT DR STE A3",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773740",
            "telephone_number": "360-682-5024",
            "fax_number": "360-682-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SE CABOT DR STE A3",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "98277",
            "telephone_number": "360-682-5024",
            "fax_number": "360-682-5749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 W Jordan St",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325011736",
            "country_code": "US",
            "telephone_number": "850-436-4630",
            "fax_number": "850-436-2095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWEN",
        "first_name": "SARAH",
        "middle_name": "C",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60872410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

Verify at the official NPI Registry.