Sarah Harley Phelan, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

59200 Issued in ID

Practice address

2036 N Cole Rd
Boise, ID 83704-7309

Phone

(208) 375-0722

NPI assigned

Oct 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17732/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/23204/brand/1/csg/1/fhir/r4

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.

• Edward H Newcombe

  • Health Maintenance Organization
  • Boise, ID
  • NPI 1356494272

  Family

  NPD

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1376260372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3467 N TWEEDBROOK PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131960",
            "telephone_number": "208-318-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047309",
            "telephone_number": "208-375-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELAN",
        "first_name": "SARAH",
        "middle_name": "HARLEY",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "59200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tuan Duc Pham, DDS
• Brennen Phan, RN
• Pharmacy Solutions, Inc.
• Pharmerica Drug Systems Inc
• Mark Aaron Phelan, RN
• Philip D Jensen MD Chartered
• Alexis Phillips, D.M.D.
• Andrew Phillips
• Bradley Phillips, MD
• Charissa May Phillips, RN

• All providers in Boise, ID
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.