Individual provider Active NPI

Sarah L Sedlacek, APRN

  • Nurse Practitioner
  • Saint Joseph, MO
National Provider Identifier
1295855351
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2001015657 Issued in MO
Practice address
2303 Village Dr
Saint Joseph, MO 64506-4954
Phone
(816) 232-6818
NPI assigned
Mar 30, 2007
Last updated
Nov 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2001015657 MO Primary

Addresses

Primary practice location

2303 Village Dr
Saint Joseph, MO 64506-4954

Mailing address

2303 Village Dr
Saint Joseph, MO 64506-4954
Phone (816) 232-6818

Other practice location 1

803 Highway # 71 West
Savannah, MO 64485-1151
Phone (816) 324-3121

Other practice location 2

101 Cross St
Hamilton, MO 64644-8311
Phone (816) 583-2151

Other practice location 3

313 S US Highway 169
Gower, MO 64454-9116
Phone (816) 424-6427

Other practice location 4

503 S 6th St
Saint Joseph, MO 64501-2224
Phone (816) 233-8536

Other practice location 5

1515 Saint Joseph Ave
Saint Joseph, MO 64505-2631
Phone (816) 233-3338

Other practice location 6

1303 State St
Mound City, MO 64470-1717
Phone (660) 442-5464

Other practice location 7

305 Rhode Island St
King City, MO 64463-9622
Phone (660) 535-4347

Other practice location 8

5001 Lake Ave
Saint Joseph, MO 64504-1170
Phone (816) 238-7788

Other practice location 9

707 Victory Ln
Cainsville, MO 64632-9506
Phone (660) 893-5750

Other practice location 10

109 N Main St
Braymer, MO 64624-9325
Phone (660) 645-2218

Other identifiers 1

IdentifierTypeStateIssuer
1295855351MedicaidMO

Other names 1

  • Sarah L. Knorr Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20070504000115 MO Practitioner - Nurse Practitioner 7214033406 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Health Specialists, LLC CurrentSince Nov 21, 2022 Accepting new patients

Locations

3800 S Whitney Ave
Ste 100
Independence, MO 64055

5506 Corporate Dr
Ste 1780
Saint Joseph, MO 64507
Phone (816) 233-1629

4510 Frederick Ave
Saint Joseph, MO 64506
Phone (816) 233-1629

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1295855351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064954",
            "telephone_number": "816-232-6818",
            "fax_number": "816-232-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064954",
            "telephone_number": "816-232-6818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Highway # 71 West",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "MO",
            "postal_code": "644851151",
            "country_code": "US",
            "telephone_number": "816-324-3121",
            "fax_number": "816-324-3122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Cross St",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "MO",
            "postal_code": "646448311",
            "country_code": "US",
            "telephone_number": "816-583-2151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "313 S US Highway 169",
            "address_purpose": "LOCATION",
            "city": "Gower",
            "state": "MO",
            "postal_code": "644549116",
            "country_code": "US",
            "telephone_number": "816-424-6427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "503 S 6th St",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645012224",
            "country_code": "US",
            "telephone_number": "816-233-8536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 Saint Joseph Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645052631",
            "country_code": "US",
            "telephone_number": "816-233-3338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1303 State St",
            "address_purpose": "LOCATION",
            "city": "Mound City",
            "state": "MO",
            "postal_code": "644701717",
            "country_code": "US",
            "telephone_number": "660-442-5464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Rhode Island St",
            "address_purpose": "LOCATION",
            "city": "King City",
            "state": "MO",
            "postal_code": "644639622",
            "country_code": "US",
            "telephone_number": "660-535-4347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5001 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645041170",
            "country_code": "US",
            "telephone_number": "816-238-7788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 Victory Ln",
            "address_purpose": "LOCATION",
            "city": "Cainsville",
            "state": "MO",
            "postal_code": "646329506",
            "country_code": "US",
            "telephone_number": "660-893-5750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 N Main St",
            "address_purpose": "LOCATION",
            "city": "Braymer",
            "state": "MO",
            "postal_code": "646249325",
            "country_code": "US",
            "telephone_number": "660-645-2218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEDLACEK",
        "first_name": "SARAH",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2001015657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295855351",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "KNORR",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.