Sara E Pattavina Moulton

Primary specialty

Social WorkerTaxonomy code 104100000X

License

3067 Issued in NE

Practice address

1804 S 116TH St
Omaha, NE 68144-2902

Phone

(402) 312-0177

NPI assigned

Dec 11, 2006

Last updated

Aug 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sara Pattavina Moulton, Limhp, P.C.

  • Clinical Social Worker
  • Omaha, NE
  • NPI 1447537220
  Medicare reassignment NPD Authorized official
• Family Enrichment Inc

  • Social Worker
  • Omaha, NE
  • NPI 1164582169
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1497815443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 S 116TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442902",
            "telephone_number": "402-312-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 S 116TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442902",
            "telephone_number": "402-312-0177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2808 S 80th Ave",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681243253",
            "country_code": "US",
            "telephone_number": "402-312-0177",
            "fax_number": "402-939-0141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTAVINA MOULTON",
        "first_name": "SARA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "3067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reggie Patrick
• Patriot Family Chiropractic LLC
• Megan Elizabeth Patro
• Patron Senior Living LLC
• McKenna Marie Patsios
• Brent Eugene Patten
• Brianna Renee Patten
• Kathleen Mary Patten
• Tyler James Patten, RN
• Tiwanda Patterson-Wallace

• Social Worker in Omaha, NE
• Providers in Omaha, NE by specialty
• Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.