Active NPI
Sarah Null, PA
- Physician Assistant
- Flower Mound, TX
National Provider Identifier
1194031419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA06852
- Practice address
- 2560 Central Park Ave Ste 195
Flower Mound, TX 75028-1566 - Phone
- (972) 420-1475
- Fax
- (972) 539-8000
- NPI assigned
- Aug 24, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TEMORARY | TX | |
| Physician Assistant | 363A00000X | PA06852 | TX | Primary |
Addresses
Primary practice location
2560 Central Park Ave Ste 195
Flower Mound, TX 75028-1566
Mailing address
2560 Central Park Ave Ste 195
Flower Mound, TX 75028-1566
Phone (972) 420-1475
Other practice location 1
1001 W Eagle Dr
Decatur, TX 76234-3745
Phone (940) 627-7443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA06852 | Other | TX | LICENSE |
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Pediatric Associates, P.a. | Past | Accepting new patients | |
| Bir JV LLP | Past | Accepting new patients |
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.
-
- Rehabilitation Hospital
- Dallas, TX
- NPI 1538465901
-
- Pediatrics Physician
- Coppell, TX
- NPI 1013922731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1194031419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 CENTRAL PARK AVE STE 195",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750281566",
"telephone_number": "972-420-1475",
"fax_number": "972-539-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 CENTRAL PARK AVE STE 195",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750281566",
"telephone_number": "972-420-1475",
"fax_number": "972-539-8000"
}
],
"practiceLocations": [
{
"address_1": "1001 W Eagle Dr",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "TX",
"postal_code": "762343745",
"country_code": "US",
"telephone_number": "940-627-7443",
"fax_number": "940-627-7597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NULL",
"first_name": "SARAH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-24",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "TEMORARY",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA06852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PA06852",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.