Individual provider Active NPI

Sarah K Pazienza, PA-C

  • Physician Assistant
  • Louisville, KY
National Provider Identifier
1487626156
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1098 Issued in KY
Practice address
4123 Dutchmans LN
Suite 301
Louisville, KY 40207-4707
Phone
(502) 896-2500
Fax
(502) 896-2527
NPI assigned
Feb 6, 2006
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X TC067 KY
Physician Assistant 363A00000X PA1098 KY Primary

Addresses

Primary practice location

4123 Dutchmans LN
Suite 301
Louisville, KY 40207-4707

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 272-5754

Other identifiers 1

IdentifierTypeStateIssuer
7100035490MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicsoap.nortonhealthcare.org/
Direct Messaging Address spazienza56727@direct.nortonhealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
I20170419001254 KY Practitioner - Physician Assistant 4183703242 Reassigns benefits to 1 organization
I20200425000124 IN Practitioner - Physician Assistant 4183703242 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1098KYMDPhysician Assistant
TC067KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Childrens Medical Group, LLC Physician Assistant CurrentSince Mar 1, 2020 Accepting new patients
Community Medical Associates, Inc. CurrentSince May 1, 2017 Accepting new patients
Community Medical Associates, Inc. CurrentSince May 1, 2017 Accepting new patients
Family Physician Associates PSC Past Accepting new patients

Locations

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

3026 Poplar Level Rd
Louisville, KY 40217
Phone (502) 636-4929

4123 Dutchmans Ln
Ste 301
Louisville, KY 40207
Phone (502) 896-2500

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1487626156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-272-5754",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 DUTCHMANS LN",
            "address_2": "SUITE 301",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074707",
            "telephone_number": "502-896-2500",
            "fax_number": "502-896-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZIENZA",
        "first_name": "SARAH",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "TC067",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100035490",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "4123 Dutchmans Ln",
            "address_2": "Suite 301",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spazienza56727@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "4123 Dutchmans Ln",
            "address_2": "Suite 301",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.