Active NPI
Sarah Kingstrom, PA-C
- Physician Assistant
- Eureka, CA
National Provider Identifier
1801243241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 53381
- Practice address
- 2933 Pigeon Point Rd
Eureka, CA 95503 - Phone
- (707) 845-3267
- NPI assigned
- May 16, 2016
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 53381 | CA | Primary |
Addresses
Primary practice location
2933 Pigeon Point Rd
Eureka, CA 95503
Mailing address
2933 Pigeon Point Rd
Eureka, CA 95503
Phone (707) 845-3267
Other names 1
- Sarah Noblet
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53381 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1801243241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2933 PIGEON POINT RD",
"city": "EUREKA",
"state": "CA",
"postal_code": "95503",
"telephone_number": "707-845-3267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2933 PIGEON POINT RD",
"city": "EUREKA",
"state": "CA",
"postal_code": "95503",
"telephone_number": "707-845-3267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGSTROM",
"first_name": "SARAH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-16",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "53381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "NOBLET",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.