Individual provider Active NPI

Sara Greathouse, WHNP

  • Women's Health Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1467519165
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP113819 Issued in TX
Practice address
2602 Saint Michael Dr Ste 400
Texarkana, TX 75503-5224
Phone
(903) 794-0888
NPI assigned
Jan 2, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP113819 TX Primary

Addresses

Primary practice location

2602 Saint Michael Dr Ste 400
Texarkana, TX 75503-5224

Mailing address

PO Box 301
Texarkana, TX 75504-0301
Phone (903) 793-0112

Other practice location 1

2602 Saint Michael Dr Ste 410
Texarkana, TX 75503-2387
Phone (903) 794-0888

Other identifiers 1

IdentifierTypeStateIssuer
157987758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050816000855 TX Practitioner - Nurse Practitioner 6608806963 Reassigns benefits to 1 organization
I20141118000484 AR Practitioner - Nurse Practitioner 6608806963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

2602 Saint Michael Dr
Suite 201B
Texarkana, TX 75503-2320
Phone (903) 614-5530

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP113819TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Nov 1, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 1, 2024 Accepting new patients
John M Strayhorn MD PA Past Accepting new patients
Medical Center Medical Group Past Accepting new patients

Locations

2602 Saint Michael Dr
Ste 400
Texarkana, TX 75503
Phone (903) 614-5670

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: sgreathouse321063@christushealth.direct-ci.net

Organizations & group practices 5

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1467519165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755040301",
            "telephone_number": "903-793-0112",
            "fax_number": "903-792-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 SAINT MICHAEL DR STE 400",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755035224",
            "telephone_number": "903-794-0888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Saint Michael Dr Ste 410",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755032387",
            "country_code": "US",
            "telephone_number": "903-794-0888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREATHOUSE",
        "first_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP113819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157987758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.