Individual provider Active NPI

Sarah Beth Schifsky

  • Family Nurse Practitioner
  • Shoreview, MN
National Provider Identifier
1215475520
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
225080-3 Issued in MN
Practice address
5640 Turtle Lake Rd
Shoreview, MN 55126-4769
Phone
(763) 442-0532
NPI assigned
Feb 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 225080-3 MN
Family Nurse Practitioner 363LF0000X 225080-3 MN Primary

Addresses

Primary practice location

5640 Turtle Lake Rd
Shoreview, MN 55126-4769

Mailing address

5640 Turtle Lake Road
Shoreview, MN 55126
Phone (763) 442-0532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191114001584 MN Practitioner - Nurse Practitioner 7517399405

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225080-3MNMDDoula

Interoperability endpoints

  • Direct secure messaging: sarah.schifsky.1@14940.direct.athenahealth.com
  • Direct secure messaging: schifsky.sarah.002.0230015@vprwc.meditab.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1215475520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 TURTLE LAKE ROAD",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "55126",
            "telephone_number": "763-442-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 TURTLE LAKE RD",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551264769",
            "telephone_number": "763-442-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIFSKY",
        "first_name": "SARAH",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "MN",
            "license": "225080-3",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "225080-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreview, MN

Sources for this page

Verify at the official NPI Registry.