NPIMap

Individual provider Active NPI

Sarah Ashley Mankin, D.O.

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1386870434
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P3647 Issued in TX
Practice address
3301 Clovis Rd
Lubbock, TX 79415-5155
Phone
(806) 763-5557
Fax
(806) 765-0754
NPI assigned
Jun 3, 2009
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P3647 TX Primary
Family Medicine Physician 207Q00000X A-1826-14 NM

Addresses

Primary practice location

3301 Clovis Rd
Lubbock, TX 79415-5155

Mailing address

1610 5TH St
Lubbock, TX 79401-2622
Phone (806) 765-2611

Other identifiers 4

IdentifierTypeStateIssuer
8FG361OtherTXBCBS
305742402MedicaidTX
36288501MedicaidNM
530013101OtherTXFIRSTCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120831000573 TX Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 1557518255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1610 5TH St
Lubbock, TX 79401-2622
Phone (806) 765-2611

3301 Clovis Rd
Lubbock, TX 79415-5155
Phone (806) 763-5557

3502 9TH St
Suite 280
Lubbock, TX 79415-5305
Phone (806) 791-5537

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-1826-14NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Lubbock, Inc. CurrentSince May 30, 2024 Accepting new patients
Community Health Center of Lubbock, Inc. CurrentSince May 30, 2024 Accepting new patients
Preferred Hospital Leasing Inc Family Medicine PastSince Mar 7, 2015 Accepting new patients
Community Health Center of Lubbock, Inc Past Accepting new patients
Community Health Center of Lubbock, Inc. PastSince Jan 28, 2024 Accepting new patients

Locations

1610 5th St
Lubbock, TX 79401
Phone (806) 763-9999

3301 Clovis Rd
Lubbock, TX 79415
Phone (806) 763-5557

3502 9th St
Ste 280
Lubbock, TX 79415
Phone (806) 743-3085

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1386870434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 5TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794012622",
            "telephone_number": "806-765-2611",
            "fax_number": "806-687-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 CLOVIS RD",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794155155",
            "telephone_number": "806-763-5557",
            "fax_number": "806-765-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKIN",
        "first_name": "SARAH",
        "middle_name": "ASHLEY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P3647",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A-1826-14",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8FG361",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305742402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36288501",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "530013101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.