Sara M Boben, CRNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

SP009247 Issued in PA

Practice address

34TH Street & Civic Center Boulevard
Children'S Hospital of Philadelphia, Cardiac Center
Philadelphia, PA 19104-5127

Phone

(267) 239-7130

Fax

(215) 590-6690

NPI assigned

Jun 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1255535316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34TH & CIVIC CENTER BOULEVARD",
            "address_2": "CHILDREN'S HOSPITAL OF PHILADELPHIA, CARDIAC CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "267-239-7130",
            "fax_number": "215-590-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34TH STREET & CIVIC CENTER BOULEVARD",
            "address_2": "CHILDREN'S HOSPITAL OF PHILADELPHIA, CARDIAC CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045127",
            "telephone_number": "267-239-7130",
            "fax_number": "215-590-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBEN",
        "first_name": "SARA",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP009247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Guss Boatwright, DO
• Boaz & Ruth Inc
• Ashley Bobb, PHARMD
• Raymond Scott Bobb, D.O.
• Matthew Scott Boben, MSPT, DPT
• Carley Bober, CRNP
• Kenneth G Boberick, D.M.D.
• Mackenzie Grace Bobiy, DPM
• Sergey Bobrovnikov, DDS
• Samuel Abram Bobrow, PH.D.

• Acute Care Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Acute Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.