Individual provider Active NPI

Sarah Marie Peterson

  • Psychiatric/Mental Health Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1255031597
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
863846 Issued in NV
Practice address
375 N Stephanie St BLDG 8
Henderson, NV 89014-8771
Phone
(702) 294-0433
NPI assigned
Mar 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 863846 NV Primary

Addresses

Primary practice location

375 N Stephanie St BLDG 8
Henderson, NV 89014-8771

Mailing address

9416 Low Tide CT
Las Vegas, NV 89117-0278
Phone (702) 275-6453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20231025001086 NV Practitioner - Nurse Practitioner 5890141030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oasis Counseling LLCGroup PAC ID 3971752684, 20 clinicians

Practice addresses (Care Compare)

2360 W Horizon Ridge Pkwy
Suite 120
Henderson, NV 89052-5082
Phone (702) 294-0433

7361 Prairie Falcon Rd
Suite 110
Las Vegas, NV 89128-0824
Phone (702) 294-0433

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Counseling LLC Mental Health CurrentSince Oct 1, 2023 Accepting new patients

Locations

2360 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 518-7629

Interoperability endpoints

  • Direct secure messaging: oasiscounseling.sarah.peterson@158461.advancedmd-direct.com

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": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1255031597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9416 LOW TIDE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891170278",
            "telephone_number": "702-275-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N STEPHANIE ST BLDG 8",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890148771",
            "telephone_number": "702-294-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "863846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.