Active NPI
Sarah Ethridge House, PA-C
- Physician Assistant
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2550 Samaritan Dr Ste 221
Las Cruces, NM 88001-1170 - Phone
- (575) 525-3535
- NPI assigned
- Aug 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2550 Samaritan Dr Ste 221
Las Cruces, NM 88001-1170
Mailing address
2550 Samaritan Dr Ste 221
Las Cruces, NM 88001-1170
Phone (575) 525-3535
Other names 1
- Sarah Beth Ethridge
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1135 S Main St
Suite B
Las Cruces, NM 88005-2946
Phone (505) 525-4000
4301 E Lohman Ave
Las Cruces, NM 88011-8255
4311 E Lohman Ave
Las Cruces, NM 88011-8255
4351 E Lohman Ave
Las Cruces, NM 88011-8260
4371 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 522-7798
Hospital & facility affiliations
- Mountain View Regional Medical Center
- Three Crosses Regional Hospital LLC
- Christus Southern New Mexico
- Sierra Vista Hospital
- Memorial Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Familycare Associates,PA | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- sarah.house.1@1928.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Las Cruces, NM
- NPI 1215079678
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1205882503
-
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
-
- Critical Access Hospital
- Truth Or Consequences, NM
- NPI 1760446009
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1760020044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1750808333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 SAMARITAN DR STE 221",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880011170",
"telephone_number": "575-525-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 SAMARITAN DR STE 221",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880011170",
"telephone_number": "575-525-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSE",
"first_name": "SARAH",
"middle_name": "ETHRIDGE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-24",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "ETHRIDGE",
"middle_name": "BETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.