Individual provider Active NPI

Sarah Kube

  • Case Manager/Care Coordinator
  • Clarkston, MI
National Provider Identifier
1164010724
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
5055 Fox CRK N Apt 327
Clarkston, MI 48346-4979
Phone
(313) 829-7060
NPI assigned
Jan 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X MI Primary

Addresses

Primary practice location

5055 Fox CRK N Apt 327
Clarkston, MI 48346-4979

Mailing address

5170 E Broomfield Rd Apt Yy29
Mount Pleasant, MI 48858-8291

Other identifiers 1

IdentifierTypeStateIssuer
0031815375MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kube1sm@cmich.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1164010724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 E BROOMFIELD RD APT YY29",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488588291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 FOX CRK N APT 327",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464979",
            "telephone_number": "313-829-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBE",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031815375",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kube1sm@cmich.edu",
            "affiliation": "N",
            "address_1": "5170 E Broomfield Rd Apt Yy29",
            "city": "Mount Pleasant",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488588291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.