Active NPI
Sara S Abusharbain, FNP-C
- Family Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71011163A
- Practice address
- 8240 Naab Rd Ste 360
Indianapolis, IN 46260-1987 - Phone
- (317) 961-6396
- NPI assigned
- Feb 3, 2021
- Last updated
- Aug 9, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F01210492 | IN | |
| Adult Health Nurse Practitioner | 363LA2200X | 71011163A | IN | |
| Primary Care Nurse Practitioner | 363LP2300X | 71011163A | IN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71011163A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71011163A | IN | Primary |
Addresses
Primary practice location
8240 Naab Rd Ste 360
Indianapolis, IN 46260-1987
Mailing address
6646 Front Point Dr
Indianapolis, IN 46237-4482
Phone (618) 709-6441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, OR, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F01210492 | IN | MD | Family Medicine Physician |
| 71011163A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adobe Provider Group | Nurse Practitioner | Current | Accepting new patients |
| Adobe PH PC | Family Medicine | Current | Accepting new patients |
| Cloud Health Medical Group of New Jersey, P.C. | Past | Accepting new patients | |
| Adobe Care and Wellness LLC | Past | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
Locations
7500 N Dreamy Draw Dr
Ste 100
Phoenix, AZ 85020
Phone (520) 233-7111
7500 N Dreamy Draw Dr
Ste 100B
Phoenix, AZ 85020
Phone (520) 233-7111
4041 S McClintock Dr
Ste 302
Tempe, AZ 85282
Phone (520) 233-7111
7251 W Lake Mead Blvd
Ste 300
Las Vegas, NV 89128
Phone (702) 562-4096
8215 SW Tualatin Sherwood Rd
Ste 200
Tualatin, OR 97062
Phone (503) 899-3793
Interoperability endpoints
- https://api.platform.athenahealth.com/23999/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Nurse Practitioner
- Tempe, AZ
- NPI 1659850279
-
- Case Management Agency
- Mesa, AZ
- NPI 1346678935
-
- Internal Medicine Physician
- Union City, NJ
- NPI 1043995467
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1366033177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6646 FRONT POINT DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462374482",
"telephone_number": "618-709-6441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8240 NAAB RD STE 360",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601987",
"telephone_number": "317-961-6396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABUSHARBAIN",
"first_name": "SARA",
"middle_name": "S",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-03",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "F01210492",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "71011163A",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IN",
"license": "71011163A",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "71011163A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71011163A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.