Active NPI
Sarah O'Connell
- Social Worker
- Ketchum, ID
National Provider Identifier
1235902248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 220 River St E
Ketchum, ID 83340-8334 - Phone
- (208) 450-5645
- NPI assigned
- Nov 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
220 River St E
Ketchum, ID 83340-8334
Mailing address
PO Box 533
Ketchum, ID 83340-0481
Phone (503) 936-0379
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine Integrated Wellness PLLC | Clinical | Current | Accepting new patients |
Locations
314 S River St
Hailey, ID 83333
Phone (208) 450-5645
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1235902248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 533",
"city": "KETCHUM",
"state": "ID",
"postal_code": "833400481",
"telephone_number": "503-936-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 RIVER ST E",
"city": "KETCHUM",
"state": "ID",
"postal_code": "833408334",
"telephone_number": "208-450-5645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNELL",
"first_name": "SARAH",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-01",
"last_updated": "2023-11-01",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ketchum, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.