Individual provider Active NPI

Sara Elizabeth Owens, MSN, CCRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Chapel Hill, NC
National Provider Identifier
1639349087
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5003925 Issued in NC
Practice address
333 S. Columbia Street
CB #7225, 231 Macnider Building
Chapel Hill, NC 27514-7225
Phone
(919) 966-2504
Fax
(919) 966-3852
NPI assigned
Mar 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5003925 NC Primary

Addresses

Primary practice location

333 S. Columbia Street
CB #7225, 231 Macnider Building
Chapel Hill, NC 27514-7225

Mailing address

333 S. Columbia Street
CB #7225, 231 Macnider Building
Chapel Hill, NC 27514-7225
Phone (919) 966-2504

Other identifiers 1

IdentifierTypeStateIssuer
5003925OtherNCNC BOARD OF NURSING PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
5003925NCMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1204329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1639349087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S. COLUMBIA STREET",
            "address_2": "CB #7225, 231 MACNIDER BUILDING",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147225",
            "telephone_number": "919-966-2504",
            "fax_number": "919-966-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S. COLUMBIA STREET",
            "address_2": "CB #7225, 231 MACNIDER BUILDING",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147225",
            "telephone_number": "919-966-2504",
            "fax_number": "919-966-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MSN, CCRN,  CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-01",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5003925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF NURSING PROVIDER NUMBER",
            "identifier": "5003925",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.