Organization Active NPI

Sachse Pediatrics PLLC

  • Pediatric Nurse Practitioner
  • Sachse, TX
National Provider Identifier
1548835143
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
Legal business name
SACHSE PEDIATRICS PLLC
Practice address
4650 President George Bush Tpke Ste 108
Sachse, TX 75048-4980
Phone
(469) 715-3489
Fax
(469) 715-3490
NPI assigned
May 25, 2021
Last updated
Sep 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Ms. Samantha L Parsons, CPNPNPI 1306349022
Title
CPNP (Owner)
Phone
(214) 803-2404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X NU Primary

Addresses

Primary practice location

4650 President George Bush Tpke Ste 108
Sachse, TX 75048-4980

Mailing address

4650 President George Bush Tpke Ste 108
Sachse, TX 75048-4980
Phone (469) 715-3489

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL tbd

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2278091Sachse Pediatrics4650 President George Bush Hwy, Sachse, TX 75048Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory

Locations

4325 Miles Rd
Ste 102
Sachse, TX 75048

4650 President George Bush Tpke
Ste 108
Sachse, TX 75048
Phone (469) 715-3489

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1548835143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 PRESIDENT GEORGE BUSH TPKE STE 108",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750484980",
            "telephone_number": "469-715-3489",
            "fax_number": "469-715-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 PRESIDENT GEORGE BUSH TPKE STE 108",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750484980",
            "telephone_number": "469-715-3489",
            "fax_number": "469-715-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACHSE PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CPNP (OWNER)",
        "authorized_official_telephone_number": "214-803-2404",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tbd",
            "affiliation": "N",
            "address_1": "5214 Magnolia Ln",
            "city": "Sachse",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750484728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sachse, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.