Individual provider Active NPI

Kathryn Rebecca Sabo, FNP-C

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1790213536
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5009526 Issued in NC
Practice address
160 Mine Lake CT Ste 200
Raleigh, NC 27615-6417
Phone
(305) 466-9988
Fax
(305) 466-9989
NPI assigned
May 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5009526 NC
Family Nurse Practitioner 363LF0000X 5009526 NC Primary

Addresses

Primary practice location

160 Mine Lake CT Ste 200
Raleigh, NC 27615-6417

Mailing address

3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone (305) 466-9988

Other identifiers 2

IdentifierTypeStateIssuer
5009526OtherNCNURSE PRACTITIONER - FAMILY
238767OtherNCRN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20170719002172 NC Practitioner - Nurse Practitioner 6305116690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
QSM-NC PAGroup PAC ID 1052695798, 17 clinicians

Practice addresses (Care Compare)

3864 Sweeten Creek Rd
Arden, NC 28704-3136
Phone (828) 681-0904

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5009526NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QSM-NC, PA Family CurrentSince Mar 1, 2020 Accepting new patients
QSM-Ky, Inc Family Past Accepting new patients

Locations

3800 S Ocean Dr
Ste 209
Hollywood, FL 33019
Phone 80022688741013

3864 Sweeten Creek Rd
Arden, NC 28704
Phone (828) 676-2177

380 Brevard Rd
Asheville, NC 28806
Phone (352) 216-7618

62 Lake Eden Rd
Black Mountain, NC 28711
Phone (828) 257-6800

300 Morris Rd
Brevard, NC 28712
Phone (828) 877-4020

95 Holcombe Cove Rd
Candler, NC 28715
Phone (828) 667-9851

3100 Erwin Rd
Durham, NC 27705
Phone (828) 652-3022

600 Carolina Village Rd
Ste Z
Hendersonville, NC 28792
Phone (828) 233-0848

1870 Pisgah Dr
Hendersonville, NC 28791
Phone (828) 693-4361

1410 E Gaston St
Lincolnton, NC 28092
Phone (704) 732-1138

5593 Old Haywood Rd
Mills River, NC 28759
Phone (828) 684-4851

193 Asheville Hwy
Sylva, NC 28779
Phone (828) 506-3311

417 Cloverdale Rd
Sylva, NC 28779
Phone (410) 992-0500

516 Wall St
Waynesville, NC 28786
Phone (828) 452-3154

360 Old Balsam Rd
Waynesville, NC 28786
Phone (828) 456-7381

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.

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1790213536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR STE 209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192915",
            "telephone_number": "305-466-9988",
            "fax_number": "305-466-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MINE LAKE CT STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156417",
            "telephone_number": "305-466-9988",
            "fax_number": "305-466-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABO",
        "first_name": "KATHRYN",
        "middle_name": "REBECCA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2023-03-07",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5009526",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER - FAMILY",
            "identifier": "5009526",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "238767",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.