Active NPI
Sara Douglas, NP
- Family Nurse Practitioner
- Dayton, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN002052
- Practice address
- 901 Medical Center Dr
Ste 203
Dayton, NV 89403-7459 - Phone
- (775) 445-7630
- NPI assigned
- Dec 17, 2015
- Last updated
- Jul 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN002052 | NV | Primary |
| Family Nurse Practitioner | 363LF0000X | 225858 | AZ |
Addresses
Primary practice location
901 Medical Center Dr
Ste 203
Dayton, NV 89403-7459
Mailing address
PO Box 2168
Carson City, NV 89702-2168
Phone (775) 445-8790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2874 N Carson St
Suite 200
Carson City, NV 89706-1682
Phone (775) 445-7170
570 S Maine St
Fallon, NV 89406-3343
Phone (775) 445-7960
901 Medical Ctr Dr
Suite 203
Dayton, NV 89403-7459
Phone (775) 445-7630
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225858 | AZ | MD | Family Nurse Practitioner |
| APRN002052 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carson Tahoe Physician Clinics | Multi-Specialty | Current | Accepting new patients |
| CTH Physicians Clinic | Multi-Specialty | Current | Accepting new patients |
Locations
2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220
901 Medical Center Dr
Ste 203
Dayton, NV 89403
Phone (775) 445-7630
570 S Maine St
Fallon, NV 89406
Phone (775) 423-9511
10539 Professional Cir
Ste 200
Reno, NV 89521
Phone (775) 445-7026
Interoperability endpoints
- sdouglas514567@direct.med.utah.edu
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Carson City, NV
- NPI 1023265717
Multi-Specialty
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Carson City, NV
- NPI 1164177051
-
- General Acute Care Hospital
- Carson City, NV
- NPI 1255360160
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carson City, NV
- NPI 1568281988
Hospital
-
dba CenterWell Home Health
- Home Health Agency
- Reno, NV
- NPI 1285661108
-
- Home Health Agency
- Carson City, NV
- NPI 1922597574
-
dba South Lyon Medical Center
- Critical Access Hospital
- Yerington, NV
- NPI 1376917302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1295190304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2168",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897022168",
"telephone_number": "775-445-8790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MEDICAL CENTER DR",
"address_2": "STE 203",
"city": "DAYTON",
"state": "NV",
"postal_code": "894037459",
"telephone_number": "775-445-7630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "SARA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-17",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN002052",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "225858",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.