Individual provider Active NPI

Sarah Caroline Moody Vance, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1417367707
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09241 Issued in TX
Practice address
3000 N Interstate 35 Ste 600
Austin, TX 78705-1850
Phone
(512) 633-0485
NPI assigned
May 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09241 TX Primary

Addresses

Primary practice location

3000 N Interstate 35 Ste 600
Austin, TX 78705-1850

Mailing address

3000 N Interstate 35 Ste 600
Austin, TX 78705-1850
Phone (512) 633-0485

Other practice location 1

17270 Red Oak Dr
Houston, TX 77090-2618
Phone (800) 324-2694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161219001476 TX Practitioner - Physician Assistant 3678854262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. David'S Ortho Neuro and Rehab PLLCGroup PAC ID 5799948857, 60 clinicians

Practice addresses (Care Compare)

1221 W Ben White Blvd
Suite 250B
Austin, TX 78704-7192
Phone (512) 306-1323

3000 N Ih
Austin, TX 78705-1850

901 W Ben White Blvd
Austin, TX 78704-6903
Phone (512) 816-8611

919 E 32ND St
Austin, TX 78705-2703
Phone (412) 476-7111

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA09241TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurotexas, PLLC Past Accepting new patients
Graciela M Leija MD PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 318-moody-sarah@direct.leadingreach.com
  • Direct secure messaging: sarah.moody@hca8.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1417367707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N INTERSTATE 35 STE 600",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051850",
            "telephone_number": "512-633-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N INTERSTATE 35 STE 600",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051850",
            "telephone_number": "512-633-0485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17270 Red Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770902618",
            "country_code": "US",
            "telephone_number": "800-324-2694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANCE",
        "first_name": "SARAH",
        "middle_name": "CAROLINE MOODY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.