Active NPI
Sarah Anne Stewart, RN
- Licensed Practical Nurse
- Hamilton, OH
National Provider Identifier
1346776598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN.135370-M-IV
- Practice address
- 621 S. Erie Hwy
Hamilton, OH 45011 - Phone
- (513) 795-7557
- Fax
- (513) 737-4603
- NPI assigned
- May 10, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.458874 | OH | |
| Licensed Practical Nurse | 164W00000X | PN.135370-M-IV | OH | Primary |
Addresses
Primary practice location
621 S. Erie Hwy
Hamilton, OH 45011
Mailing address
621 S. Erie Hwy
Modern Psychiatry & Wellness LLC
Hamilton, OH 45011
Phone (513) 795-7557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346776598 | Medicaid | OH |
Other names 1
- Sarah Anne Back
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | s.back@gesmv.org | Direct |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.458874 | OH | MD | Registered Nurse |
| PN.135370-M-IV | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556496000000",
"number": "1346776598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S. ERIE HWY",
"address_2": "MODERN PSYCHIATRY & WELLNESS LLC",
"city": "HAMILTON",
"state": "OH",
"postal_code": "45011",
"telephone_number": "513-795-7557",
"fax_number": "513-737-4603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S. ERIE HWY",
"city": "HAMILTON",
"state": "OH",
"postal_code": "45011",
"telephone_number": "513-795-7557",
"fax_number": "513-737-4603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "SARAH",
"middle_name": "ANNE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-10",
"last_updated": "2019-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.458874",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN.135370-M-IV",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346776598",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "s.back@gesmv.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "660 S Main St",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "454022708",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SARAH",
"last_name": "BACK",
"middle_name": "ANNE",
"credential": "LPN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.