Individual provider Active NPI

Sarah Ashley Red, MSN-PMHNP, BSN-RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, PA
National Provider Identifier
1487390480
Registry record updated Mar 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
031313 Issued in OH
Practice address
3154 Memorial Hwy Ste 100
Dallas, PA 18612-9203
Phone
(570) 539-7234
Fax
(570) 324-4238
NPI assigned
May 11, 2022
Last updated
Mar 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 031313 OH Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP026838 PA

Addresses

Primary practice location

3154 Memorial Hwy Ste 100
Dallas, PA 18612-9203

Mailing address

PO Box 1703
Powell, OH 43065-1703
Phone (570) 539-7234

Other practice location 1

5626 Frantz Rd
Dublin, OH 43017-1559
Phone (570) 539-7234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
031313OHMDPsychiatric/Mental Health Nurse Practitioner
SP026838PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Breeze Mental Health PLLC Psychiatric/Mental Health CurrentSince Feb 4, 2024 Accepting new patients
Aster Mental Health Inc PastSince Jan 19, 2025 Accepting new patients

Locations

5626 Frantz Rd
Dublin, OH 43017
Phone (570) 539-7234

3154 Memorial Hwy
Ste 100
Dallas, PA 18612
Phone (570) 239-8052

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, 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": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711238400000",
    "number": "1487390480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1703",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430651703",
            "telephone_number": "570-539-7234",
            "fax_number": "570-302-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3154 MEMORIAL HWY STE 100",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186129203",
            "telephone_number": "570-539-7234",
            "fax_number": "570-324-4238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5626 Frantz Rd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430171559",
            "country_code": "US",
            "telephone_number": "570-539-7234",
            "fax_number": "570-302-4238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RED",
        "first_name": "SARAH",
        "middle_name": "ASHLEY",
        "credential": "MSN-PMHNP, BSN-RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "031313",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP026838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.