Active NPI
Jane Elizabeth Sanborn, PA
- Physician Assistant
- Raleigh, NC
National Provider Identifier
1285724054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001000401
- Practice address
- 4201 Lake Boone TRL
Suite 202
Raleigh, NC 27607-7512 - Phone
- (919) 235-0050
- Fax
- (919) 235-0505
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001000401 | NC | Primary |
Addresses
Primary practice location
4201 Lake Boone TRL
Suite 202
Raleigh, NC 27607-7512
Mailing address
5705 Country Forest Dr
Raleigh, NC 27606-4458
Phone (919) 601-4415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89013NA | Medicaid | NC |
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001000401 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosurgical Associates, P.C. | Past | 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 and National Provider Directory roles.
-
- Neurological Surgery Physician
- Raleigh, NC
- NPI 1144295270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1285724054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5705 COUNTRY FOREST DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276064458",
"telephone_number": "919-601-4415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 LAKE BOONE TRL",
"address_2": "SUITE 202",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077512",
"telephone_number": "919-235-0050",
"fax_number": "919-235-0505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANBORN",
"first_name": "JANE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "001000401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89013NA",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.