Sarah Katherine Wuollet, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA08514 Issued in TX

Practice address

4708 Alliance Blvd Ste 300
Baylor Medical Plaza 1
Plano, TX 75093-5339

Phone

(469) 800-6000

Fax

(469) 800-6001

NPI assigned

Aug 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sreedevi Kodali, M.D., PLLCGroup PAC ID 7810031747, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: swuollet221528@direct.sw.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sreedevi Kodali, M.D., PLLC

  • Medical Specialty Clinic/Center
  • Colleyville, TX
  • NPI 1548597289
  Medicare reassignment Care Compare group
• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936
  Medicare reassignment
• Healthtexas Provider Network

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Plano, TX
  • NPI 1124809512
  NPD
• Healthtexas-Dallas Diagnostic Association

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1245235886
  NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Plano, TX
  • NPI 1003811639
  NPD (past)

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1629401252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD STE 300",
            "address_2": "BAYLOR MEDICAL PLAZA 1",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935339",
            "telephone_number": "469-800-6000",
            "fax_number": "469-800-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD STE 300",
            "address_2": "BAYLOR MEDICAL PLAZA 1",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935339",
            "telephone_number": "469-800-6000",
            "fax_number": "469-800-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUOLLET",
        "first_name": "SARAH",
        "middle_name": "KATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327581001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swuollet221528@direct.sw.org",
            "affiliation": "N",
            "address_1": "4716 Alliance Blvd Ste 750",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750935390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Francis Wu, M.D.
• Jane Wu, APRN, FNP
• Yesenia Wuitron
• Pablo Andres Wunderlich Padilla, M.D.
• Sarah Wunnicke
• Cameron Wyatt, FNP-C
• Julie J Wyatt, PT
• Sheridan Wyatt
• Wycoff Counseling, PLLC
• Fiona M Wycoff, PA

• Physician Assistant in Plano, TX
• Providers in Plano, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.

Verify at the official NPI Registry.