Individual provider Active NPI

Sarah Kimberly Moore, AGNP

  • Nurse Practitioner
  • Sunnyvale, TX
National Provider Identifier
1649401266
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP118238 Issued in TX
Practice address
341 Wheatfield Dr Ste 100
Sunnyvale, TX 75182-4639
Phone
(972) 285-0221
Fax
(972) 285-0223
NPI assigned
Jul 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 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 AP118238 TX Primary

Addresses

Primary practice location

341 Wheatfield Dr Ste 100
Sunnyvale, TX 75182-4639

Mailing address

341 Wheatfield Dr Ste 100
Sunnyvale, TX 75182-4639
Phone (972) 285-0221

Other names 1

  • Sarah Kimberly Slatter Former name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP118238TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare House Calls LLC Nurse Practitioner Past Accepting new patients
Medistat Group Associates, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sarah.moore.1@23648.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1649401266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 WHEATFIELD DR STE 100",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824639",
            "telephone_number": "972-285-0221",
            "fax_number": "972-285-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 WHEATFIELD DR STE 100",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824639",
            "telephone_number": "972-285-0221",
            "fax_number": "972-285-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SARAH",
        "middle_name": "KIMBERLY",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP118238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SLATTER",
            "middle_name": "KIMBERLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sunnyvale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.