NPIMap

Individual provider Active NPI

Sara Leanne Miers, N.P.

  • Family Nurse Practitioner
  • Wake Village, TX
National Provider Identifier
1457787400
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP121525 Issued in TX
Practice address
815 N Kings Hwy
Wake Village, TX 75501-5700
Phone
(903) 614-3700
NPI assigned
Sep 23, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 11

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 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collom and Carney Clinic Association 52 clinicians

Practice addresses (Care Compare)

815 N King Hwy
Texarkana, TX 75501-5700
Phone (903) 614-3700

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Longview, TX, CCN 679079
  • Onesource Home Care Inc Home health agency, Longview, TX, CCN 679138
  • Christus Homecare - St Michael Home health agency, Texarkana, TX, CCN 679372
  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150529002089 TX Practitioner - Nurse Practitioner 7113240680 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AA003646ARMDFamily Nurse Practitioner
AP121525TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Collom & Carney Clinic Association Current Accepting new patients
Collom & Carney Clinic Association Current Accepting new patients
Collom & Carney Clinic Association Current Accepting new patients
Collom & Carney Clinic Association CurrentSince Jul 1, 2015 Accepting new patients
Collom & Carney Clinic Association CurrentSince Jul 1, 2015 Accepting new patients
Collom & Carney Clinic Association Current Accepting new patients
Collom and Carney Clinic Association Past Accepting new patients
Collom and Carney Clinic Association Past Accepting new patients

Locations

2931 Richmond Rd
Texarkana, TX 75503
Phone (903) 614-3200

5002 Cowhorn Creek Rd
Texarkana, TX 75503
Phone (903) 614-3008

815 N Kings Hwy
Wake Village, TX 75501
Phone (903) 614-3700

Interoperability endpoints

  • Direct secure messaging: sara.miers.p1@direct.collom-carney.nextgenshare.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AA003646 AR
Family Nurse Practitioner 363LF0000X AP121525 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

815 N Kings Hwy
Wake Village, TX 75501-5700

Mailing address

5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766
Phone (903) 614-3000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 8, 2015.

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1457787400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 COWHORN CREEK RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039766",
            "telephone_number": "903-614-3000",
            "fax_number": "903-614-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N KINGS HWY",
            "city": "WAKE VILLAGE",
            "state": "TX",
            "postal_code": "755015700",
            "telephone_number": "903-614-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIERS",
        "first_name": "SARA",
        "middle_name": "LEANNE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "AA003646",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP121525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Village, TX

Sources for this page

Verify at the official NPI Registry.