Active NPI
Sarah A Brandt
- Medical Physician Assistant
- Chicago, IL
National Provider Identifier
1407865934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 676 N Saint Clair St
Suite 2140
Chicago, IL 60611-2927 - Phone
- (312) 664-5400
- Fax
- (312) 664-5854
- NPI assigned
- Aug 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 103329 | NC | |
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
676 N Saint Clair St
Suite 2140
Chicago, IL 60611-2927
Mailing address
1365 Paysphere Cir
Chicago, IL 60674-0013
Phone (847) 585-7000
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 890 | NE | MD | Occupational Therapist |
| 103329 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hematology Oncology Associates of Illinois LLC | Past | Accepting new patients | |
| Jack K Lewis MD PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Chicago, IL
- NPI 1538120381
-
- Internal Medicine Physician
- Omaha, NE
- NPI 1760563373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1407865934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740013",
"telephone_number": "847-585-7000",
"fax_number": "847-240-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 N SAINT CLAIR ST",
"address_2": "SUITE 2140",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112927",
"telephone_number": "312-664-5400",
"fax_number": "312-664-5854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDT",
"first_name": "SARAH",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "103329",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.