Active NPI
Sarah Jackel
- Pediatric Nurse Practitioner
- Arlington, MA
National Provider Identifier
1356798672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP015723
- Practice address
- 5 Water St
Arlington, MA 02476-4807 - Phone
- (781) 641-5800
- NPI assigned
- May 17, 2016
- Last updated
- Jan 3, 2022
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | SP015723 | PA | Primary |
Addresses
Primary practice location
5 Water St
Arlington, MA 02476-4807
Mailing address
5 Water St
Arlington, MA 02476-4807
Phone (781) 641-5800
Other practice location 1
1575 Blue Hill Ave
Boston, MA 02126-2122
Phone (617) 296-0061
Other practice location 2
2217 Bristol Pike
Bensalem, PA 19020-5736
Phone (215) 638-0555
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP015723 | PA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jerome H. Horowitz, M.D.,P.C. | Past | Accepting new patients | |
| Arlington Pediatric Associates, P.C. | Past | Accepting new patients | |
| True North Medical Group, LLC | Past | Accepting new patients |
Interoperability endpoints
- sjackel34286@direct.chppoc.masshiway.net
Organizations & group practices 3
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.
-
- Pediatric Adolescent Medicine Physician
- Arlington, MA
- NPI 1316094782
-
dba Torresdale Pediatrics
- Pediatrics Physician
- Bensalem, PA
- NPI 1144275447
-
- Family Medicine Physician
- Abington, PA
- NPI 1811477573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1356798672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 WATER ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024764807",
"telephone_number": "781-641-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 WATER ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024764807",
"telephone_number": "781-641-5800"
}
],
"practiceLocations": [
{
"address_1": "1575 Blue Hill Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021262122",
"country_code": "US",
"telephone_number": "617-296-0061",
"fax_number": "617-296-5408",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2217 Bristol Pike",
"address_purpose": "LOCATION",
"city": "Bensalem",
"state": "PA",
"postal_code": "190205736",
"country_code": "US",
"telephone_number": "215-638-0555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKEL",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP015723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.