Individual provider Active NPI

Sara Margaret Haslag, CPNP

  • Pediatric Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1679531859
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
094877 Issued in MO
Practice address
2011 Corona Rd
Suite 207
Columbia, MO 65203-2548
Phone
(573) 234-1000
Fax
(573) 234-1771
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 094877 MO Primary

Addresses

Primary practice location

2011 Corona Rd
Suite 207
Columbia, MO 65203-2548

Mailing address

2311 Cherry Ridge LN
Columbia, MO 65203-5724
Phone (573) 234-1000

Other identifiers 1

IdentifierTypeStateIssuer
425733912MedicaidMO

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
Certified Pediatric Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cayce Dermatology Center and Medical Spa, PC PastSince May 1, 2007 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1679531859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 CHERRY RIDGE LN",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035724",
            "telephone_number": "573-234-1000",
            "fax_number": "573-234-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 CORONA RD",
            "address_2": "SUITE 207",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032548",
            "telephone_number": "573-234-1000",
            "fax_number": "573-234-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASLAG",
        "first_name": "SARA",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "094877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425733912",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.