Sara Ashley McCracken
Individual provider Active NPI Family Nurse Practitioner · Estill, SC
NPI 1639684657 · NPPES record last updated Dec 13, 2017
Key facts
- NPI
- 1639684657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 21497 (SC)
- Practice address
- 776 2ND St E
Estill, SC 29918-4926 - Phone
- (803) 625-2548
- Fax
- (803) 625-2801
- NPI assigned
- Dec 13, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21497 | SC | Yes |
Addresses
Primary practice location
776 2ND St E
Estill, SC 29918-4926
Mailing address
PO Box 357
Ridgeland, SC 29936-2605
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21497 | Other | SC | STATE LICENSE |
Other providers in Estill, SC
- Hannas Discount Pharmacy
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- Amanda Howard
- Lesters Diabetic Shoe Serv
- Elizabeth Warren McAlhaney
- David H McKenzie Jr.
- Michelle Marie McKenzie
- Datasha Mitchell
- Laveda Yolanda Odom
- Pruitthealth - Estill, LLC
All providers in Estill, SC · Family Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.