Active NPI
Sarah Benton Wagner, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Roxboro, NC
National Provider Identifier
1760735815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5007923
- Practice address
- 3762 Durham Rd
Suite B
Roxboro, NC 27573-2741 - Phone
- (336) 322-1024
- Fax
- (336) 322-1022
- NPI assigned
- Oct 25, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5007923 | NC | Primary |
Addresses
Primary practice location
3762 Durham Rd
Suite B
Roxboro, NC 27573-2741
Mailing address
3762 Durham Rd
Suite B
Roxboro, NC 27573-2741
Phone (336) 322-1024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1327 | AK | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1760735815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3762 DURHAM RD",
"address_2": "SUITE B",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275732741",
"telephone_number": "336-322-1024",
"fax_number": "336-322-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3762 DURHAM RD",
"address_2": "SUITE B",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275732741",
"telephone_number": "336-322-1024",
"fax_number": "336-322-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "SARAH",
"middle_name": "BENTON",
"name_prefix": "Mrs.",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-25",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5007923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roxboro, NC
- Urgent Cares of America North Carolina Inc (FastMed Urgent Care of Roxboro)
- Jose R Varela, DDS
- Angela Milton Viola, PHARM. D
- Vision of Therapeutic Development, Inc.
- Vision of Therapeutic Development, Inc.
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1288)
- Wal-Mart Stores East, LP (Vision Center 30-1288)
- Walgreen Co (Walgreens #19008)
- Walgreen Co (Rite Aid)
- Bruce Wayne Walsh
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.