Sara Pattavina Moulton, Limhp, P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SARA PATTAVINA MOULTON, LIMHP, P.C.

Practice address

1804 S 116TH St
Omaha, NE 68144-2902

Phone

(402) 312-0177

Fax

(402) 939-0141

NPI assigned

Nov 8, 2011

Organization subpart

No

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

Authorized official

Name

Sara E Pattavina MoultonNPI 1497815443

Title

President

Phone

(402) 312-0177

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara E Pattavina Moulton

  • Social Worker
  • Omaha, NE
  • NPI 1497815443
  Medicare reassignment NPD Authorized official
• Mary K Johnson

  • Social Worker
  • Omaha, NE
  • NPI 1053471086
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1447537220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 S 116TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442902",
            "telephone_number": "402-312-0177",
            "fax_number": "402-939-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 S 116TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442902",
            "telephone_number": "402-312-0177",
            "fax_number": "402-939-0141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2808 S 80th Ave",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681243253",
            "country_code": "US",
            "telephone_number": "402-312-0177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SARA PATTAVINA MOULTON, LIMHP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "PATTAVINA MOULTON",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-312-0177"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026137800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sagar Sapkota
• Shaun Henry Sappe
• Antonio B. Saqueton Jr., MD
• Bwe Sar
• Moo Sar
• Saraann Staley LLC
• Sarah Isely LLC
• Sarah J. Bird Consulting
• Sarah Roe Psychotherapy, LLC
• Sarah Scott Psychotherapy, LLC

• Clinical Social Worker in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinical Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.