Individual provider Active NPI

Sarah Housman, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Pueblo, CO
National Provider Identifier
1366933004
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
0066629 Issued in CO
Practice address
200 W B St Ste 110
Pueblo, CO 81003-3496
Phone
(719) 208-4030
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0066629 CO
Student in an Organized Health Care Education/Training Program 390200000X TP18024 ME
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 0066629 CO Primary

Addresses

Primary practice location

200 W B St Ste 110
Pueblo, CO 81003-3496

Mailing address

891 Clearview PL
Pueblo, CO 81006-1966
Phone (719) 252-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 18, 2024 through Jul 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0066629COMDNeuromusculoskeletal Medicine & OMM Physician

Interoperability endpoints

  • Direct secure messaging: sarah.housman.1@8078.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1366933004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 CLEARVIEW PL",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810061966",
            "telephone_number": "719-252-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W B ST STE 110",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033496",
            "telephone_number": "719-208-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSMAN",
        "first_name": "SARAH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "0066629",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "ME",
            "license": "TP18024",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CO",
            "license": "0066629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.