Sara K Dillon, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

71004026A Issued in IN

Practice address

4133 Gateway Blvd Ste 220
Newburgh, IN 47630-7918

Phone

(812) 858-3131

Fax

(812) 858-3140

NPI assigned

Jun 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sara K Baumgart Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Decatur Morgan Pediatrics

  • Pediatrics Physician
  • Decatur, AL
  • NPI 1477013720
  NPD (past)
• Decatur Morgan Primary Care

  • Family Medicine Physician
  • Decatur, AL
  • NPI 1669889895
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1356604268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3407",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477333407",
            "telephone_number": "812-858-3131",
            "fax_number": "812-858-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 GATEWAY BLVD STE 220",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307918",
            "telephone_number": "812-858-3131",
            "fax_number": "812-858-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "SARA",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71004026A",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71004026A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "BAUMGART",
            "middle_name": "K",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taylor Alexius Dieball, RBT
• Digestive Care of Evansville PC
• Digestive Care of Evansville, PC
• Kyla Dilger
• Dannielle Dillon
• Chanda Divine
• Julia Doane
• Doctors Bose and Bose LLC
• Doctors Physical Therapy LLC
• Lindsay Martin Dodd, CCC-SLP

• Pediatric Nurse Practitioner in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Pediatric Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.