Individual provider Active NPI

Sara King, NP

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1275962102
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111605 Issued in NE
Practice address
17645 Wright St Ste 300
Omaha, NE 68130-2195
Phone
(833) 667-2967
NPI assigned
Nov 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209023024 IL
Family Nurse Practitioner 363LF0000X 7541 MN
Family Nurse Practitioner 363LF0000X GAA-NP000005 GA
Family Nurse Practitioner 363LF0000X 9142 CT
Family Nurse Practitioner 363LF0000X A159557 IA
Family Nurse Practitioner 363LF0000X 347645 NY
Family Nurse Practitioner 363LF0000X C-APN.00002171-C-NP CO
Family Nurse Practitioner 363LF0000X 53-79574-082 KS
Family Nurse Practitioner 363LF0000X 2020019955 MO
Family Nurse Practitioner 363LF0000X 71010263A IN
Family Nurse Practitioner 363LF0000X CNP201259 ME
Family Nurse Practitioner 363LF0000X 3014741 KY
Family Nurse Practitioner 363LF0000X 111605 NE Primary
Family Nurse Practitioner 363LF0000X 4704365611 MI
Family Nurse Practitioner 363LF0000X 257458 AZ

Addresses

Primary practice location

17645 Wright St Ste 300
Omaha, NE 68130-2195

Mailing address

17645 Wright St Ste 300
Omaha, NE 68130-2195
Phone (833) 667-2967

Other practice location 1

950 N Porter
Suite 300
Norman, OK 73071-6400
Phone (405) 329-0121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20141024001683 OK Practitioner - Nurse Practitioner 5395973259 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7541MNMDSpeech-Language Pathologist
257458AZMDFamily Nurse Practitioner
C-APN.00002171-C-NPCOMDFamily Nurse Practitioner
9142CTMDFamily Nurse Practitioner
GAA-NP000005GAMDFamily Nurse Practitioner
A159557IAMDFamily Nurse Practitioner
209023024ILMDFamily Nurse Practitioner
71010263AINMDFamily Nurse Practitioner
53-79574-082KSMDFamily Nurse Practitioner
3014741KYMDFamily Nurse Practitioner
CNP201259MEMDFamily Nurse Practitioner
4704365611MIMDFamily Nurse Practitioner
2020019955MOMDFamily Nurse Practitioner
111605NEMDFamily Nurse Practitioner
347645NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oklahoma Communities CurrentSince Apr 15, 2017 Accepting new patients

Locations

530 N Monte Vista St
Ste A
Ada, OK 74820
Phone (580) 310-9510

950 N Porter Ave
Ste 200
Norman, OK 73071

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

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": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1275962102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17645 WRIGHT ST STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302195",
            "telephone_number": "833-667-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17645 WRIGHT ST STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302195",
            "telephone_number": "833-667-2967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 N Porter",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730716400",
            "country_code": "US",
            "telephone_number": "405-329-0121",
            "fax_number": "405-292-6099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "SARA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023024",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "7541",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP000005",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "9142",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A159557",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347645",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.00002171-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79574-082",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020019955",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010263A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP201259",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014741",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111605",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704365611",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "257458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.