Individual provider Active NPI

Sara Marie Zehnpfennig, ANP-BC

  • Adult Health Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1275877912
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NUR-RN-LIC-46519 Issued in MT
Practice address
2901 Brooks St
Missoula, MT 59801-7722
Phone
(406) 541-8466
NPI assigned
Nov 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704263797 MI
Adult Health Nurse Practitioner 363LA2200X NUR-RN-LIC-46519 MT Primary

Addresses

Primary practice location

2901 Brooks St
Missoula, MT 59801-7722

Mailing address

2901 Brooks St
Missoula, MT 59801-7722
Phone (406) 541-8466

Other practice location 1

435 S Crystal St
Ste 300
Butte, MT 59701-1506
Phone (406) 496-3600

Other names 1

  • Sara Marie Momola Former name

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
4704263797MIMDAdult Health Nurse Practitioner
NUR-RN-LIC-46519MTMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1275877912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 BROOKS ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017722",
            "telephone_number": "406-541-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 BROOKS ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017722",
            "telephone_number": "406-541-8466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 S Crystal St",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597011506",
            "country_code": "US",
            "telephone_number": "406-496-3600",
            "fax_number": "406-496-3653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEHNPFENNIG",
        "first_name": "SARA",
        "middle_name": "MARIE",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704263797",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MT",
            "license": "NUR-RN-LIC-46519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "MOMOLA",
            "middle_name": "MARIE",
            "credential": "ANP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.