Sara Elmasri

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

5302043486 Issued in MI

Practice address

220 Ferris Dr
Big Rapids, MI 49307-2740

Phone

(231) 591-3780

NPI assigned

May 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1730678202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 HIGHVIEW ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281040",
            "telephone_number": "313-522-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FERRIS DR",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072740",
            "telephone_number": "231-591-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMASRI",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "5302043486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY INTERN LICENSE",
            "identifier": "5302043486",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simon Ebbott, PA-C
• Ebenezer Faithway Transport
• Amy Sue Ecker
• Maryann Maude Ellery, PTA
• Rosemarie Gene Ells, 5201003961
• Zeina Sobhi Elroumi
• David G Elwell, M.D.
• Noah Emerson, MA, SLC, NCC
• John Campbell Erwin, LLMSW
• Amy Frances Evans, LMSW

• Student in an Organized Health Care Education/Training Program in Big Rapids, MI
• Providers in Big Rapids, MI by specialty
• Student in an Organized Health Care Education/Training Program in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.