Individual provider Active NPI

Sara Staab, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1609486109
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014733 Issued in KY
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200917001859 KY Practitioner - Nurse Practitioner 6800214131 Reassigns benefits to 2 organizations

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
Physicians UnityGroup PAC ID 6406014919, 61 clinicians

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

LicenseStateTypeSpecialty
3014733KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Unity Family CurrentSince Mar 27, 2023 Accepting new patients
Signify Health, LLC CurrentSince Oct 7, 2024 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.

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

Verify at the official NPI Registry.