Sara Elizabeth Haugen, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2023022013 Issued in FL

Practice address

97 Rio Dr
Ponte Vedra Beach, FL 32082-2442

Phone

(904) 654-8393

NPI assigned

Oct 25, 2023

Last updated

Oct 25, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• N E Florida Internal Medicine PA

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1487724993
  Medicare reassignment NPD
• Blissful Wellness Integrative Medicine, LLC

  • Integrative Medicine Physician
  • Jacksonville, FL
  • NPI 1922912674
  NPD (past)

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1770355596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 RIO DR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822442",
            "telephone_number": "904-654-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 RIO DR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822442",
            "telephone_number": "904-654-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGEN",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2023022013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harris Teeter, Inc.
• John B Harris, MD
• Theresa Lyon Harris, APRN
• Deborah Dee Hartley, LMT
• David Meriwether Harvey, PHD
• Brittany Hawkins
• Randolph J Hayes Jr., D.M.D.
• Hdap, LLC (Health Designs)
• Health Designs, Inc.
• Hehllc (Home Helpers)

• Family Nurse Practitioner in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.