Individual provider Active NPI

Sarah Amily Sepulveda Farrar, FNP-C

  • Family Nurse Practitioner
  • Azle, TX
National Provider Identifier
1487029666
Registry record updated Apr 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129770 Issued in TX
Practice address
909 Southeast Pkwy
Azle, TX 76020-3693
Phone
(817) 334-6525
NPI assigned
Dec 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 779014 TX
Family Nurse Practitioner 363LF0000X AP129770 TX Primary

Addresses

Primary practice location

909 Southeast Pkwy
Azle, TX 76020-3693

Mailing address

139 Creekwood Ranch Rd
Azle, TX 76020-8045
Phone (817) 903-1110

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160225002086 TX Practitioner - Nurse Practitioner 8123323318 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Century Integrated Partners, IncGroup PAC ID 6406151703, 330 clinicians
Integrative Emergency Services Physician Group PAGroup PAC ID 0749447936, 71 clinicians

Practice addresses (Care Compare)

12500 S Fwy
Suite 100
Burleson, TX 76028-7128
Phone (214) 294-6250

1575 S Main St
JPS Emergency
Fort Worth, TX 76104-4901
Phone (817) 702-8828

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.56
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
779014TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Integrative Emergency Services Physician Group PA CurrentSince Jul 24, 2016 Accepting new patients
Century Integrated Partners, Inc CurrentSince Jan 1, 2026 Accepting new patients
Texas Health Physicians Group CurrentSince Feb 1, 2016 Accepting new patients
Texas Health Physicians Group CurrentSince Feb 1, 2016 Accepting new patients

Locations

909 Southeast Pkwy
Ste 101
Azle, TX 76020
Phone (817) 237-9225

141 Industrial Ave
Azle, TX 76020
Phone (817) 270-3132

909 Southeast Pkwy
Azle, TX 76020
Phone (817) 238-0735

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

12500 South Fwy
Ste 100
Burleson, TX 76028
Phone (214) 294-6250

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

3500 Gaston Ave
Dallas, TX 75246

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461456000000",
    "number": "1487029666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CREEKWOOD RANCH RD",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760208045",
            "telephone_number": "817-903-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SOUTHEAST PKWY",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203693",
            "telephone_number": "817-334-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA FARRAR",
        "first_name": "SARAH",
        "middle_name": "AMILY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2016-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "779014",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azle, TX

Sources for this page

Verify at the official NPI Registry.