Individual provider Active NPI

Jaime Sale, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockingham, NC
National Provider Identifier
1437806775
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5016422 Issued in NC
Practice address
523 Rockingham Rd
Rockingham, NC 28379-3615
Phone
(910) 562-9882
Fax
(910) 562-9955
NPI assigned
Mar 7, 2022
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5016422 NC Primary
Registered Nurse 163W00000X 239546 NC

Addresses

Primary practice location

523 Rockingham Rd
Rockingham, NC 28379-3615

Mailing address

523 Rockingham Rd
Rockingham, NC 28379-3615
Phone (910) 562-9882

Other practice location 1

35 Memorial Dr
Pinehurst, NC 28374-8708
Phone (910) 715-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220721003193 NC Practitioner - Nurse Practitioner 5092196063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Carolina's Medical and Wellness ClinicGroup PAC ID 3678007093, 8 clinicians

Practice addresses (Care Compare)

821 A S Main St
Laurinburg, NC 28352-4724
Phone (910) 506-8474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
239546NCMDRegistered Nurse
5016422NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina's Medical & Wellness Clinic Psychiatric/Mental Health CurrentSince Feb 13, 2025 Accepting new patients
Sandhills Behavioral Care, PLLC Psychiatric/Mental Health CurrentSince Apr 6, 2022 Accepting new patients
Carolina's Medical & Wellness Clinic CurrentSince Feb 13, 2025 Accepting new patients

Locations

821 S Main St
#A
Laurinburg, NC 28352
Phone (910) 506-8474

523 Rockingham Rd
Rockingham, NC 28379
Phone (828) 360-4600

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, 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": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1437806775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 ROCKINGHAM RD",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283793615",
            "telephone_number": "910-562-9882",
            "fax_number": "910-562-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 ROCKINGHAM RD",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283793615",
            "telephone_number": "910-562-9882",
            "fax_number": "910-562-9955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "283748708",
            "country_code": "US",
            "telephone_number": "910-715-3376",
            "fax_number": "910-715-5391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALE",
        "first_name": "JAIME",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5016422",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "239546",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

Verify at the official NPI Registry.