Individual provider Active NPI

Sarah Moore-Ede, PMHNP-BC, RN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Needham Heights, MA
National Provider Identifier
1215414032
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN269700 Issued in MA
Practice address
224 Hunnewell St
Needham Heights, MA 02494
Phone
(781) 264-4251
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN269700 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN269700 MA Primary

Addresses

Primary practice location

224 Hunnewell St
Needham Heights, MA 02494

Mailing address

224 Hunnewell St
Needham Heights, MA 02494-1450
Phone (781) 264-4251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 22, 2025 through Oct 22, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN269700MAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1215414032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HUNNEWELL ST",
            "city": "NEEDHAM HEIGHTS",
            "state": "MA",
            "postal_code": "024941450",
            "telephone_number": "781-264-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 HUNNEWELL ST",
            "city": "NEEDHAM HEIGHTS",
            "state": "MA",
            "postal_code": "02494",
            "telephone_number": "781-264-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-EDE",
        "first_name": "SARAH",
        "credential": "PMHNP-BC, RN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN269700",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN269700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham Heights, MA

Sources for this page

Verify at the official NPI Registry.