Individual provider Active NPI

Sara B Stark, NP

  • Family Nurse Practitioner
  • Houma, LA
National Provider Identifier
1245731041
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09841 Issued in LA
Practice address
8166 Main Street
Suite 102
Houma, LA 70360
Phone
(985) 857-8093
Fax
(985) 857-8902
NPI assigned
Feb 27, 2018
Last updated
Feb 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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 AP09841 LA Primary

Addresses

Primary practice location

8166 Main Street
Suite 102
Houma, LA 70360

Mailing address

PO Box 6014
Houma, LA 70361-6014
Phone (985) 873-4713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20180503002214 LA Practitioner - Nurse Practitioner 1052675717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Practice PartnersGroup PAC ID 4183909740, 80 clinicians

Practice addresses (Care Compare)

8166 Main St
Suite 102
Houma, LA 70360-3404
Phone (985) 857-8093

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09841LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practice Partners Nurse Practitioner CurrentSince May 1, 2018 Accepting new patients
Terrebonne Parish Hospital Service District #1 PastSince May 1, 2018 Accepting new patients

Locations

8120 Main St
Ste 203
Houma, LA 70360
Phone (985) 868-9960

8166 Main St
Ste 102
Houma, LA 70360
Phone (985) 857-8093

8166 Main St
Ste 201
Houma, LA 70360
Phone (985) 857-8093

Interoperability endpoints

  • Direct secure messaging: sstark518228@direct.ochsner.org

Organizations & group practices 2

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.

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": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1245731041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6014",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703616014",
            "telephone_number": "985-873-4713",
            "fax_number": "985-873-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8166 MAIN STREET",
            "address_2": "SUITE 102",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "70360",
            "telephone_number": "985-857-8093",
            "fax_number": "985-857-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "SARA",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.