Individual provider Active NPI

Sara Leann Cline, FNP-BC

  • Family Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1497596209
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4024228 Issued in KY
Practice address
336 29TH St Ste 101
Ashland, KY 41101-1976
Phone
(606) 324-4404
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4024228 KY Primary
Family Nurse Practitioner 363LF0000X 119203 WV

Addresses

Primary practice location

336 29TH St Ste 101
Ashland, KY 41101-1976

Mailing address

336 29TH St Ste 101
Ashland, KY 41101-1976
Phone (304) 417-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20241015003803 KY Practitioner - Nurse Practitioner 4385176379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kings Daughters Medical Specialties IncGroup PAC ID 6103968029, 397 clinicians

Practice addresses (Care Compare)

336 29TH St
Suite 100
Ashland, KY 41101-1900
Phone (606) 326-4404

Hospital & facility affiliations

  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
119203WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc CurrentSince Aug 19, 2024 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Kings Daughters Medical Specialties Inc Family CurrentSince Aug 19, 2024 Accepting new patients
Kings Daughters Medical Specialties Inc Past Accepting new patients

Locations

336 29th St
Ste 100
Ashland, KY 41101
Phone (606) 324-4404

336 29th St
Ste 101
Ashland, KY 41101
Phone (606) 324-4404

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1497596209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 29TH ST STE 101",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011976",
            "telephone_number": "304-417-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 29TH ST STE 101",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011976",
            "telephone_number": "606-324-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "SARA",
        "middle_name": "LEANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4024228",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "119203",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.