Individual provider Active NPI

Sarah Sarah Keihany-Yazdy, FNP

  • Family Nurse Practitioner
  • Monterey, CA
National Provider Identifier
1235589110
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004413 Issued in CA
Practice address
2 Lower Ragsdale
Ste 260
Monterey, CA 93940
Phone
(831) 920-3920
Fax
(978) 645-6921
NPI assigned
Jun 21, 2016
Last updated
Nov 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95004413 CA Primary

Addresses

Primary practice location

2 Lower Ragsdale
Ste 260
Monterey, CA 93940

Mailing address

2 Lower Ragsdale
Ste 260
Monterey, CA 93940
Phone (831) 920-3920

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170922002416 CA Order and Referring Only - Nurse Practitioner 5799059143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95004413CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Childrens Clinic 'Serving Children and Their Families' Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: skeihanyyazdy403300@direct.memorialcare.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1235589110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LOWER RAGSDALE",
            "address_2": "STE 260",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93940",
            "telephone_number": "831-920-3920",
            "fax_number": "978-645-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LOWER RAGSDALE",
            "address_2": "STE 260",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93940",
            "telephone_number": "831-920-3920",
            "fax_number": "978-645-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIHANY-YAZDY",
        "first_name": "SARAH",
        "middle_name": "SARAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.