Active NPI
Sara Staab, APRN
- Family Nurse Practitioner
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3014733
- Practice address
- 168 E Reynolds Rd Ste 130
Lexington, KY 40517-1317 - Phone
- (859) 554-5067
- Fax
- (859) 818-0324
- NPI assigned
- Aug 9, 2020
- Last updated
- Sep 3, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3014733 | KY | Primary |
Addresses
Primary practice location
168 E Reynolds Rd Ste 130
Lexington, KY 40517-1317
Mailing address
168 E Reynolds Rd Ste 130
Lexington, KY 40517-1317
Phone (859) 554-5067
Other practice location 1
166 Pasadena Dr
Lexington, KY 40503-2973
Phone (859) 351-7857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Trillium Way
Corbin, KY 40701-8426
Phone (606) 523-5150
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3014733 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Unity | Family | Current | Accepting new patients |
| Signify Health, LLC | Current | Accepting new patients |
Locations
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
1 Trillium Way
Lowr
Corbin, KY 40701
Phone (606) 523-5150
1 Saint Joseph Dr
#3
Lexington, KY 40504
1 Saint Joseph Dr
Ste 3
Lexington, KY 40504
150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773
2050 Versailles Rd
Lexington, KY 40504
Phone (859) 254-5701
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
2501 Kentucky Ave
Fl 5
Paducah, KY 42003
Phone (270) 415-7794
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
5224 75th St
Ste D
Lubbock, TX 79424
Phone (806) 791-0042
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
Organizations & group practices 2
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.
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kentucky Laboratory System
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1215227012
Hospital
-
dba CHI Saint Joseph Hospital
- General Acute Care Hospital
- Lexington, KY
- NPI 1437150984
-
dba CHI Saint Joseph East
- General Acute Care Hospital
- Lexington, KY
- NPI 1447457775
-
dba CHI Saint Joseph Jessamine
- Clinic/Center
- Nicholasville, KY
- NPI 1861650814
Hospital
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1609486109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 E REYNOLDS RD STE 130",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405171317",
"telephone_number": "859-554-5067",
"fax_number": "859-818-0324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 E REYNOLDS RD STE 130",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405171317",
"telephone_number": "859-554-5067",
"fax_number": "859-818-0324"
}
],
"practiceLocations": [
{
"address_1": "166 Pasadena Dr",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405032973",
"country_code": "US",
"telephone_number": "859-351-7857",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAAB",
"first_name": "SARA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-09",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3014733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.