Active NPI
Sarah Evelyn Treadway, MA LPA
- Psychologist
- Winston Salem, NC
National Provider Identifier
1164406187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1219
- Practice address
- Medical Center Blvd
Winston-Salem, NC 27157 - Phone
- (336) 716-2255
- NPI assigned
- Dec 2, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1219 | NC | Primary |
Addresses
Primary practice location
Medical Center Blvd
Winston-Salem, NC 27157
Mailing address
Medical Center Blvd
Winston-Salem, NC 27157
Phone (336) 716-2255
Other names 1
- Sarah Evelyn Redfearn
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1219 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164406187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "27157",
"telephone_number": "336-716-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "27157",
"telephone_number": "336-716-2255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREADWAY",
"first_name": "SARAH",
"middle_name": "EVELYN",
"credential": "MA LPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "1219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "REDFEARN",
"middle_name": "EVELYN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Winston Salem, NC
- Leslie Travia, LCMHCA
- Travis & Michaels Construction Services, LLC (TW Construction Services, LLC)
- Brittany Lou Travis, LCMHC, LCAS
- Margaret Duda Trawick, PA
- John Treadaway
- Gillian Gabrielle Treadwell, MD
- Jon Robert Treen, DO
- Bailey Allyson Trent, PHARMD
- Harley Eugene Trero, OTA/L
- Lori Trexler, M.S., OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.