Individual provider Active NPI

Diane Sarra, D.O.M.

  • Acupuncturist
  • Sarasota, FL
National Provider Identifier
1265807226
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
3672 Issued in FL
Practice address
3900 Clark Rd Ste K1
Sarasota, FL 34233-2374
Phone
(239) 390-1800
NPI assigned
Dec 2, 2015
Last updated
Dec 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 3672 FL Primary

Addresses

Primary practice location

3900 Clark Rd Ste K1
Sarasota, FL 34233-2374

Mailing address

869 S Orange Ave Apt 302
Sarasota, FL 34236-7704
Phone (239) 390-1800

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3672FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Wellness, Inc. Acupuncturist Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1265807226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 S ORANGE AVE APT 302",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367704",
            "telephone_number": "239-390-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD STE K1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332374",
            "telephone_number": "239-390-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARRA",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "D.O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "3672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.