Individual provider Active NPI

Sarah Jane Norris, APRN, WHNP-BC

  • Obstetrics & Gynecology Physician
  • Yreka, CA
National Provider Identifier
1215216643
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20407 Issued in CA
Practice address
Fairchild Medical Clinic
475 Bruce Street
Yreka, CA 96097-2323
Phone
(415) 272-1174
NPI assigned
Aug 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 20407 CA Primary

Addresses

Primary practice location

Fairchild Medical Clinic
475 Bruce Street
Yreka, CA 96097-2323

Mailing address

214 Pine St
Yreka, CA 96097-2323
Phone (415) 272-1174

Other names 1

  • Sarah Norris Fry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141120001844 TX Practitioner - Nurse Practitioner 7719109040 Reassigns benefits to 1 organization
I20210524002888 CA Practitioner - Nurse Practitioner 7719109040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siskiyou Hospital Inc 96 clinicians

Practice addresses (Care Compare)

444 Bruce St
Yreka, CA 96097-3450
Phone (530) 842-4121

475 Bruce St
Yreka, CA 96097-3474
Phone (530) 842-4121

Hospital & facility affiliations

  • Fairchild Medical Center Hospital, Yreka, CA, CCN 051316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20407CAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 10, 2017 Accepting new patients
Siskiyou Hospital, Inc. CurrentSince Apr 5, 2021 Accepting new patients

Locations

475 Bruce St
Yreka, CA 96097
Phone (530) 842-3507

444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1215216643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 PINE ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960972323",
            "telephone_number": "415-272-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FAIRCHILD MEDICAL CLINIC",
            "address_2": "475 BRUCE STREET",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960972323",
            "telephone_number": "415-272-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "SARAH",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "APRN, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "FRY",
            "middle_name": "NORRIS",
            "credential": "RN, MS, WHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yreka, CA

Sources for this page

Verify at the official NPI Registry.