Active NPI
Bintou Sarr
- Nurse Practitioner
- Tyler, TX
National Provider Identifier
1457078792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1077699
- Practice address
- 4818 Edinburgh Dr
Tyler, TX 75703-2701 - Phone
- (903) 283-5436
- NPI assigned
- Oct 27, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1077699 | TX | |
| Nurse Practitioner | 363L00000X | 1077699 | TX | Primary |
Addresses
Primary practice location
4818 Edinburgh Dr
Tyler, TX 75703-2701
Mailing address
4818 Edinburgh Dr
Tyler, TX 75703-2701
Phone (903) 283-5436
Other practice location 1
3131 Troup Hwy
Tyler, TX 75701-8350
Phone (903) 510-7006
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients |
Locations
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
3131 Troup Hwy
Tyler, TX 75701
Phone (903) 510-7000
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.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1457078792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4818 EDINBURGH DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757032701",
"telephone_number": "903-283-5436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4818 EDINBURGH DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757032701",
"telephone_number": "903-283-5436"
}
],
"practiceLocations": [
{
"address_1": "3131 Troup Hwy",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757018350",
"country_code": "US",
"telephone_number": "903-510-7006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SARR",
"first_name": "BINTOU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-27",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1077699",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1077699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.