Active NPI
Sarah B Felt, DO
- Family Medicine Physician
- Pueblo, CO
National Provider Identifier
1396733457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 39953
- Practice address
- 916 Indiana Ave
Suite 120
Pueblo, CO 81004-3572 - Phone
- (719) 562-1122
- Fax
- (719) 562-0244
- NPI assigned
- Oct 12, 2005
- Last updated
- May 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 39953 | CO | Primary |
Addresses
Primary practice location
916 Indiana Ave
Suite 120
Pueblo, CO 81004-3572
Mailing address
916 Indiana Ave
Suite 120
Pueblo, CO 81004-3572
Phone (719) 562-1122
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45850224 | Medicaid | CO | |
| 840706945 | Other | CO | ROCKY MOUNTAIN HEATLH PLA |
| P00231963 | Other | TRAVELERS MEDICARE | |
| FE668556 | Other | CO | ANTHEM BCBS |
| 14688778 | Other | NEW MEXICO MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39953 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley-Wide Health Systems, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Rock Creek Family Medicine
- Federally Qualified Health Center (FQHC)
- Alamosa, CO
- NPI 1205652047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1396733457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 INDIANA AVE",
"address_2": "SUITE 120",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043572",
"telephone_number": "719-562-1122",
"fax_number": "719-562-0244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 INDIANA AVE",
"address_2": "SUITE 120",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043572",
"telephone_number": "719-562-1122",
"fax_number": "719-562-0244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELT",
"first_name": "SARAH",
"middle_name": "B",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-12",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "39953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45850224",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ROCKY MOUNTAIN HEATLH PLA",
"identifier": "840706945",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "P00231963",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "FE668556",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW MEXICO MEDICAID",
"identifier": "14688778",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.