Individual provider Active NPI

Sarah Revae Lim, FNP-C

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1619567583
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
253328 Issued in AZ
Practice address
2121 N Craycroft Rd BLDG 5
Tucson, AZ 85712-2845
Phone
(520) 296-8500
NPI assigned
Jan 24, 2021
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 253328 AZ Primary

Addresses

Primary practice location

2121 N Craycroft Rd BLDG 5
Tucson, AZ 85712-2845

Mailing address

2121 N Craycroft Rd BLDG 5
Tucson, AZ 85712-2845
Phone (520) 296-8500

Other practice location 1

1358 W Orange Grove Rd
Tucson, AZ 85704-2901
Phone (520) 575-1787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20211104002583 AZ Practitioner - Nurse Practitioner 6406245802 Reassigns benefits to 1 organization

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
Sonoran Ear Nose and ThroatGroup PAC ID 1951626472, 14 clinicians

Practice addresses (Care Compare)

2506 E Vistoso Commerce Loop
Suite 180
Oro Valley, AZ 85755-9114
Phone (520) 447-8400

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
253328AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Ear Nose and Throat CurrentSince Dec 27, 2021 Accepting new patients

Locations

2506 E Vistoso Commerce Loop
Ste 180
Oro Valley, AZ 85755
Phone (520) 447-8400

3320 N Campbell Ave
Ste 150
Tucson, AZ 85719
Phone (520) 775-3333

7650 E Broadway Blvd
Ste 109
Tucson, AZ 85710
Phone (520) 600-7970

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1619567583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 N CRAYCROFT RD BLDG 5",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122845",
            "telephone_number": "520-296-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N CRAYCROFT RD BLDG 5",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122845",
            "telephone_number": "520-296-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1358 W Orange Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857042901",
            "country_code": "US",
            "telephone_number": "520-575-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "SARAH",
        "middle_name": "REVAE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "253328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.