NPIMap

Individual provider Active NPI

Sarah B Youngblood, PA

  • Medical Physician Assistant
  • Edwards, CO
National Provider Identifier
1720184278
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1876 Issued in CO
Practice address
322 Beard Creek Road
Suite 1300
Edwards, CO 81632-5068
Phone
(970) 926-9226
Fax
(970) 926-8755
NPI assigned
Sep 15, 2006
Last updated
Jan 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1876 CO Primary

Addresses

Primary practice location

322 Beard Creek Road
Suite 1300
Edwards, CO 81632-5068

Mailing address

PO Box 4330
Avon, CO 81620-4330
Phone (970) 926-6340

Other identifiers 1

IdentifierTypeStateIssuer
1876OtherCOCOLORADO STATE LICENSE

Other names 1

  • Sarah W Basinger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040520000887 CO Practitioner - Physician Assistant 9931190741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Mountain Medical, LLCGroup PAC ID 5496087181, 63 clinicians

Practice addresses (Care Compare)

181 W Meadow Dr
Vail, CO 81657-5242
Phone (970) 926-6340

377 Sylvan Lake Rd
Eagle, CO 81631-6779
Phone (970) 926-6350

50 Buck Creek Rd
Avon, CO 81620-5428

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1876COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Mountain Medical, LLC CurrentSince Jan 18, 2021 Accepting new patients
Colorado Mountain Medical, LLC CurrentSince Jan 18, 2021 Accepting new patients
Colorado Mountain Medical, PC Past Accepting new patients
Steadman Clinic Professional LLC Past Accepting new patients

Locations

377 Sylvan Lake Rd
Ste 210
Eagle, CO 81631
Phone (970) 328-1650

322 Beard Creek Rd
Ste 1300
Edwards, CO 81632
Phone (970) 569-7656

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

181 W Meadow Dr
Ste 400
Vail, CO 81657
Phone (970) 680-0795

Interoperability endpoints

  • Direct secure messaging: sarahyoungblood@coloradomo.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1720184278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4330",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816204330",
            "telephone_number": "970-926-6340",
            "fax_number": "970-926-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 BEARD CREEK ROAD",
            "address_2": "SUITE 1300",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816325068",
            "telephone_number": "970-926-9226",
            "fax_number": "970-926-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "SARAH",
        "middle_name": "B",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "1876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE LICENSE",
            "identifier": "1876",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BASINGER",
            "middle_name": "W",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edwards, CO

Sources for this page

Verify at the official NPI Registry.