Individual provider Active NPI

Sara Masoum, RN

  • Family Nurse Practitioner
  • Kirkland, WA
National Provider Identifier
1649951005
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP.AP.70133206-NP Issued in WA
Practice address
11911 NE 132ND St Ste 200
Kirkland, WA 98034-2900
Phone
(425) 899-5800
Fax
(425) 899-5806
NPI assigned
Jul 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP.AP.70133206-NP WA Primary

Addresses

Primary practice location

11911 NE 132ND St Ste 200
Kirkland, WA 98034-2900

Mailing address

11911 NE 132ND St Ste 200
Kirkland, WA 98034-2900
Phone (425) 899-5800

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP.AP.70133206-NPWAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1649951005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 NE 132ND ST STE 200",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342900",
            "telephone_number": "425-899-5800",
            "fax_number": "425-899-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 NE 132ND ST STE 200",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342900",
            "telephone_number": "425-899-5800",
            "fax_number": "425-899-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOUM",
        "first_name": "SARA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "ARNP.AP.70133206-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.