Individual provider Active NPI

Sara Meyer, A.P.R.N.

  • Acute Care Nurse Practitioner
  • Rocky Hill, CT
National Provider Identifier
1659748028
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
6269 Issued in CT
Practice address
400 Capital Blvd FL 3
Rocky Hill, CT 06067-3576
Phone
(860) 918-9137
Fax
(855) 715-0508
NPI assigned
Sep 1, 2015
Last updated
Sep 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 6269 CT Primary

Addresses

Primary practice location

400 Capital Blvd FL 3
Rocky Hill, CT 06067-3576

Mailing address

95 Shailor Hill Rd
None
Colchester, CT 06415-2511
Phone (860) 418-9664

Other practice location 1

300 Southborough Dr Ste 100
Portland, ME 04106-6914
Phone (860) 918-9137

Other practice location 2

905 Fannin Street
Van Horn, TX 79855
Phone (860) 418-9664

Other practice location 3

300 Meridian Centre Blvd Ste 320
Rochester, NY 14618-3984
Phone (860) 918-9137

Other practice location 4

170 Commerce Way Ste 103
Portsmouth, NH 03801-3272
Phone (860) 918-9137

Other practice location 5

14141 Southwest Fwy
Sugar Land, TX 77478-3493
Phone (860) 918-9137

Other practice location 6

475 Kilvert St Ste 310
Warwick, RI 02886-1360
Phone (860) 918-9137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220117000554 WA Practitioner - Nurse Practitioner 0446560304 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bastion Health PC CurrentSince Apr 25, 2022 Accepting new patients

Locations

6811 S 204th St
Ste 280
Kent, WA 98032
Phone (206) 229-6448

1412 SW 43rd St
Ste 240
Renton, WA 98057
Phone (253) 852-4699

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1659748028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 SHAILOR HILL RD",
            "address_2": "NONE",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064152511",
            "telephone_number": "860-418-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CAPITAL BLVD FL 3",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673576",
            "telephone_number": "860-918-9137",
            "fax_number": "855-715-0508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Southborough Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041066914",
            "country_code": "US",
            "telephone_number": "860-918-9137",
            "fax_number": "855-715-0508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 Fannin Street",
            "address_purpose": "LOCATION",
            "city": "Van Horn",
            "state": "TX",
            "postal_code": "79855",
            "country_code": "US",
            "telephone_number": "860-418-9664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Meridian Centre Blvd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146183984",
            "country_code": "US",
            "telephone_number": "860-918-9137",
            "fax_number": "855-715-0508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 Commerce Way Ste 103",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038013272",
            "country_code": "US",
            "telephone_number": "860-918-9137",
            "fax_number": "855-715-0508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14141 Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774783493",
            "country_code": "US",
            "telephone_number": "860-918-9137",
            "fax_number": "855-715-0508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Kilvert St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028861360",
            "country_code": "US",
            "telephone_number": "860-918-9137",
            "fax_number": "855-715-0508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "SARA",
        "credential": "A.P.R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "6269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.