Individual provider Active NPI

Paula Olaitan Sakin, FNP

  • Nurse Practitioner
  • Anniston, AL
National Provider Identifier
1669062519
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1027722 Issued in TX
Practice address
1010 Christine Ave
Anniston, AL 36207-5782
Phone
(256) 236-5631
NPI assigned
Jan 25, 2021
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 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 1027722 TX Primary

Addresses

Primary practice location

1010 Christine Ave
Anniston, AL 36207-5782

Mailing address

24234 Saffron Plum
San Antonio, TX 78261-2699
Phone (512) 920-2351

Other practice location 1

24234 Saffron Plum
San Antonio, TX 78261-2699
Phone (619) 342-5961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX, AL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210902003370 LA Practitioner - Nurse Practitioner 0648689604
I20210909001663 TX Practitioner - Nurse Practitioner 0648689604
I20211012000122 AL Practitioner - Nurse Practitioner 0648689604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical School at San Antonio, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anniston Medical Clinic, PCGroup PAC ID 0244125854, 13 clinicians

Practice addresses (Care Compare)

1010 Christine Ave
Anniston, AL 36207-5782
Phone (256) 236-5631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1027722TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anniston Medical Clinic PC CurrentSince Sep 27, 2021 Accepting new patients
Larouge Personal Home Care, Inc. PastSince Jul 1, 2021 Accepting new patients

Locations

1010 Christine Ave
Anniston, AL 36207
Phone (256) 236-5631

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, 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": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1669062519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24234 SAFFRON PLUM",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612699",
            "telephone_number": "512-920-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CHRISTINE AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075782",
            "telephone_number": "256-236-5631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24234 Saffron Plum",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782612699",
            "country_code": "US",
            "telephone_number": "619-342-5961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAKIN",
        "first_name": "PAULA",
        "middle_name": "OLAITAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1027722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.