Individual provider Active NPI

Sara S Abusharbain, FNP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1366033177
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011163A Issued in IN
Practice address
8240 Naab Rd Ste 360
Indianapolis, IN 46260-1987
Phone
(317) 961-6396
NPI assigned
Feb 3, 2021
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, NV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220321000744 AZ Practitioner - Nurse Practitioner 2264823970 Reassigns benefits to 1 organization
I20240919000844 OR Practitioner - Nurse Practitioner 2264823970 Reassigns benefits to 1 organization
I20241022001849 NV Practitioner - Nurse Practitioner 2264823970 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F01210492INMDFamily Medicine Physician
71011163AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adobe Provider Group Nurse Practitioner CurrentSince Mar 21, 2022 Accepting new patients
Adobe PH PC Family Medicine CurrentSince Sep 5, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.