Individual provider Active NPI

Sarah B Felt, DO

  • Family Medicine Physician
  • Pueblo, CO
National Provider Identifier
1396733457
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39953 Issued in CO
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, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
45850224MedicaidCO
840706945OtherCOROCKY MOUNTAIN HEATLH PLA
P00231963OtherTRAVELERS MEDICARE
FE668556OtherCOANTHEM BCBS
14688778OtherNEW 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

LicenseStateTypeSpecialty
39953COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.