Active NPI
Sarah Jane Carpenter, M.D.
- Family Medicine Physician
- Tucson, AZ
National Provider Identifier
1457526295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 46509
- Practice address
- 2355 N Wyatt Dr Ste 101
Tucson, AZ 85712-2120 - Phone
- (520) 616-4948
- Fax
- (520) 616-4958
- NPI assigned
- Apr 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 Medicine Physician | 207Q00000X | A71582 | CA | |
| Family Medicine Physician | 207Q00000X | 46509 | AZ | Primary |
Addresses
Primary practice location
2355 N Wyatt Dr Ste 101
Tucson, AZ 85712-2120
Mailing address
PO Box 188
Marana, AZ 85653-0188
Phone (520) 616-4948
Other practice location 1
1910 W Sunset Blvd
Suite 650
Los Angeles, CA 90026-3275
Phone (213) 484-1186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 932042 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46509 | AZ | MD | Family Medicine Physician |
| A71582 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queens North Hawaii Community Hospital | Family Medicine | Current | Accepting new patients |
| North Hawaii Community Hospital, Inc. | Current | Accepting new patients |
Locations
67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400
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.
-
- Orthopaedic Surgery Physician
- Kamuela, HI
- NPI 1528049814
Family Medicine
-
- General Acute Care Hospital
- Kamuela, HI
- NPI 1730327396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1457526295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "MARANA",
"state": "AZ",
"postal_code": "856530188",
"telephone_number": "520-616-4948",
"fax_number": "520-616-4958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 N WYATT DR STE 101",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122120",
"telephone_number": "520-616-4948",
"fax_number": "520-616-4958"
}
],
"practiceLocations": [
{
"address_1": "1910 W Sunset Blvd",
"address_2": "Suite 650",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900263275",
"country_code": "US",
"telephone_number": "213-484-1186",
"fax_number": "213-413-3443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARPENTER",
"first_name": "SARAH",
"middle_name": "JANE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A71582",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "46509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "932042",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.