Individual provider Active NPI

Sara Tate, CFNP

  • Family Nurse Practitioner
  • Saltillo, MS
National Provider Identifier
1518111723
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R696722 Issued in MS
Practice address
1154 Cross Creek Dr
Saltillo, MS 38866-5777
Phone
(662) 840-8010
Fax
(662) 840-2656
NPI assigned
Nov 14, 2008
Last updated
Nov 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R696722 MS Primary

Addresses

Primary practice location

1154 Cross Creek Dr
Saltillo, MS 38866-5777

Mailing address

1154 Cross Creek Dr
Saltillo, MS 38866-5777
Phone (662) 840-8010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20081222000662 MS Practitioner - Nurse Practitioner 2365504545 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R696722MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medical Center Inc. CurrentSince Nov 25, 2015 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Nov 25, 2015 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
United Emergency Services of Mississippi Past Accepting new patients

Locations

1205 Highway 182 W
Starkville, MS 39759
Phone (662) 320-8545

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

Interoperability endpoints

  • Direct secure messaging: saratate@nmhs.medalliesdirect.net

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": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1518111723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 CROSS CREEK DR",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388665777",
            "telephone_number": "662-840-8010",
            "fax_number": "662-840-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 CROSS CREEK DR",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388665777",
            "telephone_number": "662-840-8010",
            "fax_number": "662-840-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "SARA",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R696722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saltillo, MS

Sources for this page

Verify at the official NPI Registry.