Active NPI
Sara Christine Myers
- Social Worker
- Tompkinsville, KY
National Provider Identifier
1194469700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 258377
- Practice address
- 200 N Crawford St
Tompkinsville, KY 42167-1678 - Phone
- (270) 901-5000
- NPI assigned
- Apr 21, 2022
- Last updated
- Sep 11, 2023
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | 258377 | KY | Primary |
Addresses
Primary practice location
200 N Crawford St
Tompkinsville, KY 42167-1678
Mailing address
380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone (270) 901-5000
Other practice location 1
112 Sartin Dr
Edmonton, KY 42129-8170
Phone (270) 901-5000
Other names 1
- Sara Christine Duvall
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258377 | KY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeskills, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Bowling Green, KY
- NPI 1669401816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1194469700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 SUWANNEE TRAIL ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421037956",
"telephone_number": "270-901-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N CRAWFORD ST",
"city": "TOMPKINSVILLE",
"state": "KY",
"postal_code": "421671678",
"telephone_number": "270-901-5000"
}
],
"practiceLocations": [
{
"address_1": "112 Sartin Dr",
"address_purpose": "LOCATION",
"city": "Edmonton",
"state": "KY",
"postal_code": "421298170",
"country_code": "US",
"telephone_number": "270-901-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "SARA",
"middle_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-21",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "258377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "DUVALL",
"middle_name": "CHRISTINE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tompkinsville, KY
- Monroe Medical Foundation, Inc. (Monroe County Medical Center Home Health Agency)
- Monroe Medical Foundation, Inc. (Monroe County Ambulance Service)
- Monroe Medical Foundation, Inc. (Monroe County Medical Center)
- Monroe Medical Foundation, Inc. (Monroe County Medical Center)
- Monroe Medical Foundation, Inc. (Monroe County Medical Center)
- New Monroe Health & Rehabilitation Center, LLC (Monroe Health & Rehabilitation Center)
- Deanna Arlene Nichols, ARNP
- John P Nixon, PHARMACIST
- Tina Norris, LPN
- Jennifer O'Dell, LPCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.