Active NPI
Sarina Rose Howard, PA-C
- Physician Assistant
- Kaysville, UT
National Provider Identifier
1689903403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 347101-8906
- Practice address
- 1188 W Sportsplex Dr Ste 105
Kaysville, UT 84037-6817 - Phone
- (760) 533-8229
- NPI assigned
- Dec 8, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 16414 | CA | |
| Physician Assistant | 363A00000X | PA 10003765 | WA | |
| Physician Assistant | 363A00000X | PA 752 | ID | |
| Physician Assistant | 363A00000X | 347101-8906 | UT | Primary |
Addresses
Primary practice location
1188 W Sportsplex Dr Ste 105
Kaysville, UT 84037-6817
Mailing address
841 S Sunset Dr
Kaysville, UT 84037-9678
Phone (760) 533-8229
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA-752 | Other | ID | MEDICAL LICENSE |
| CS13139 | Other | ID | PHARMACY |
| PA 16414 | Other | CA | MEDICAL LICENSE |
| PA 10003765 | Other | WA | MEDICAL LICENSE |
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 16414 | CA | MD | Physician Assistant |
| PA 752 | ID | MD | Physician Assistant |
| 347101-8906 | UT | MD | Physician Assistant |
| PA 10003765 | WA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1689903403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 S SUNSET DR",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840379678",
"telephone_number": "760-533-8229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1188 W SPORTSPLEX DR STE 105",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840376817",
"telephone_number": "760-533-8229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "SARINA",
"middle_name": "ROSE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-08",
"last_updated": "2023-03-07",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA 16414",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA 10003765",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA 752",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "347101-8906",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "PA-752",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY",
"identifier": "CS13139",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "PA 16414",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "PA 10003765",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kaysville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.