Individual provider Active NPI

Sabrina Lea Faulk

  • Family Nurse Practitioner
  • Nederland, TX
National Provider Identifier
1710155320
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
703407 Issued in TX
Practice address
520 S Twin City Hwy
Suite 103
Nederland, TX 77627-4245
Phone
(409) 727-1414
Fax
(409) 727-1449
NPI assigned
Feb 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 703407 TX
Family Nurse Practitioner 363LF0000X 703407 TX Primary

Addresses

Primary practice location

520 S Twin City Hwy
Suite 103
Nederland, TX 77627-4245

Mailing address

520 S Twin City Hwy
Suite 103
Nederland, TX 77627-4245
Phone (409) 727-1414

Other names 1

  • Sabrina Lea Hidalgo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080912000053 TX Practitioner - Nurse Practitioner 2860568037 Reassigns benefits to 2 organizations
Practice locations: Nederland, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

520 S Twin City Hwy
Suite 103
Nederland, TX 77627-4246
Phone (409) 727-1414

Hospital & facility affiliations

  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
703407TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Port Arthur Emergency Physicians CurrentSince Oct 7, 2010 Accepting new patients
Faulk Family Healthcare, PLLC Family CurrentSince Aug 12, 2017 Accepting new patients
Beaumont Emergency Medicine Associates PLLC Past Accepting new patients

Locations

520 S Twin City Hwy
Ste 103
Nederland, TX 77627
Phone (409) 727-1414

520 S Twin City Hwy
Nederland, TX 77627
Phone (409) 727-1414

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1203120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1710155320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S TWIN CITY HWY",
            "address_2": "SUITE 103",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776274245",
            "telephone_number": "409-727-1414",
            "fax_number": "409-727-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S TWIN CITY HWY",
            "address_2": "SUITE 103",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776274245",
            "telephone_number": "409-727-1414",
            "fax_number": "409-727-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULK",
        "first_name": "SABRINA",
        "middle_name": "LEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-16",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "703407",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "703407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABRINA",
            "last_name": "HIDALGO",
            "middle_name": "LEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nederland, TX

Sources for this page

Verify at the official NPI Registry.