Active NPI
Sarah Kimberly Moore, AGNP
- Nurse Practitioner
- Sunnyvale, TX
National Provider Identifier
1649401266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP118238
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP118238 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medcare House Calls LLC | Nurse Practitioner | Past | Accepting new patients |
| Medistat Group Associates, Inc. | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Nurse Practitioner
- Dallas, TX
- NPI 1265694343
-
- Adult Medicine Physician
- Desoto, TX
- NPI 1376565341
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.