Sage Health Professional Limited Liability Company

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SAGE HEALTH PROFESSIONAL LIMITED LIABILITY COMPANY

Practice address

1011 N Cooper St
Arlington, TX 76011-5517

Phone

(817) 404-2287

NPI assigned

Apr 16, 2021

Organization subpart

No

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

Authorized official

Name

Saaghe Fogwe

Title

Ceo

Phone

(682) 246-7323

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1730760141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8108 MODESTO DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760018545",
            "telephone_number": "682-246-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115517",
            "telephone_number": "817-404-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE HEALTH PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "FOGWE",
        "authorized_official_first_name": "SAAGHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "682-246-7323"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Arlington, TX
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• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.