Active NPI
Sara Gayl Hamilton, NP
- Nurse Practitioner
- Newburgh, IN
National Provider Identifier
1548763576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71007844A
- Practice address
- 4015 Gateway Blvd
Newburgh, IN 47630-8925 - Phone
- (812) 426-9545
- Fax
- (812) 858-4512
- NPI assigned
- Mar 15, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 71007844A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71007844A | IN | |
| Nurse Practitioner | 363L00000X | 71007844A | IN | Primary |
Addresses
Primary practice location
4015 Gateway Blvd
Newburgh, IN 47630-8925
Mailing address
315 Mulberry St
Evansville, IN 47713-1252
Phone (812) 421-7489
Other practice location 1
8601 N Kentucky Ave Ste J
Evansville, IN 47725-6371
Phone (888) 492-8722
Other practice location 2
501 John St Ste 12
Evansville, IN 47713
Phone (812) 436-0224
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71007844A | IN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1548763576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 MULBERRY ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131252",
"telephone_number": "812-421-7489",
"fax_number": "812-436-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 GATEWAY BLVD",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308925",
"telephone_number": "812-426-9545",
"fax_number": "812-858-4512"
}
],
"practiceLocations": [
{
"address_1": "8601 N Kentucky Ave Ste J",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477256371",
"country_code": "US",
"telephone_number": "888-492-8722",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 John St Ste 12",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "47713",
"country_code": "US",
"telephone_number": "812-436-0224",
"fax_number": "812-436-0230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMILTON",
"first_name": "SARA",
"middle_name": "GAYL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-15",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "71007844A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71007844A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71007844A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.