Sara Jane Wolfe, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

114559 Issued in NE

Practice address

11404 W Dodge Rd Ste 300
Omaha, NE 68154-2511

Phone

(402) 209-4782

NPI assigned

Aug 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Sara Jane Wolfe Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: sara.wolfe.1@19923.direct.athenahealth.com

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1255050167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11404 W DODGE RD STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542511",
            "telephone_number": "402-210-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11404 W DODGE RD STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542511",
            "telephone_number": "402-209-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "SARA",
        "middle_name": "JANE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NE",
            "license": "64741",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "114559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "WOLFE",
            "middle_name": "JANE",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kari Lynn Wolfe, PA-C
• Kathryn Wolfe
• Kimberly G Wolfe, PLMHP
• Megan A Wolfe, M.A., BCBA
• Rachel Elizabeth Losen Wolfe, LPC
• Sarah Wolfe
• Steven Scott Wolfe, O.D.
• Taylor Wolfe
• Terrence Wolfe
• Trevor Austin Wolfe

• Psychiatric/Mental Health Nurse Practitioner in Omaha, NE
• Providers in Omaha, NE by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.