Individual provider Active NPI

Sarah Null, PA

  • Physician Assistant
  • Flower Mound, TX
National Provider Identifier
1194031419
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06852 Issued in TX
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

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PA06852OtherTXLICENSE

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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.