Individual provider Active NPI

Sarah Joanne Halter, APRN, CPNP AC/PC

  • Acute Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1174940423
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP125423 Issued in TX
Practice address
Utsw 5323 Harry Hines Blvd MC 9227
Dallas, TX 75390-2717
Phone
(941) 962-1319
NPI assigned
Mar 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP125423 TX
Pediatric Nurse Practitioner 363LP0200X 780060 TX
Acute Care Nurse Practitioner 363LA2100X AP125423 TX Primary

Addresses

Primary practice location

Utsw 5323 Harry Hines Blvd MC 9227
Dallas, TX 75390-2717

Mailing address

6797 Shadow Glen Dr
Frisco, TX 75035-4417
Phone (941) 962-1319

Other practice location 1

1401 W Pulaski St
Fort Worth, TX 76104-2717
Phone (682) 885-8012

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)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP125423TXMDAcute Care Nurse Practitioner
780060TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Past Accepting new patients

Organizations & group practices 1

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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1174940423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6797 SHADOW GLEN DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354417",
            "telephone_number": "941-962-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UTSW 5323 HARRY HINES BLVD MC 9227",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753902717",
            "telephone_number": "941-962-1319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 W Pulaski St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042717",
            "country_code": "US",
            "telephone_number": "682-885-8012",
            "fax_number": "682-885-8014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALTER",
        "first_name": "SARAH",
        "middle_name": "JOANNE",
        "credential": "APRN, CPNP AC/PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP125423",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "780060",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP125423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.