Active NPI
Sara Anne Dame, LPN
- Licensed Practical Nurse
- Ft. Leavenworth, KS
National Provider Identifier
1548468465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 23-29615-105
- Practice address
- 505 Pope
Ft. Leavenworth, KS 66027-0000 - Phone
- (913) 684-6109
- NPI assigned
- Jul 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 23-29615-105 | KS | Primary |
Addresses
Primary practice location
505 Pope
Ft. Leavenworth, KS 66027-0000
Mailing address
19148 258TH
Atchison, KS 66002-0000
Phone (913) 367-4583
Other names 1
- Miss Sara Anne Lawrence
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23-29615-105 | KS | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548468465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19148 258TH",
"city": "ATCHISON",
"state": "KS",
"postal_code": "660020000",
"telephone_number": "913-367-4583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 POPE",
"city": "FT. LEAVENWORTH",
"state": "KS",
"postal_code": "660270000",
"telephone_number": "913-684-6109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAME",
"first_name": "SARA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "KS",
"license": "23-29615-105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "LAWRENCE",
"middle_name": "ANNE",
"prefix": "MISS",
"credential": "NONE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ft. Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.