Individual provider Active NPI

Sarah Defreitas, PA

  • Physician Assistant
  • Plano, TX
National Provider Identifier
1801288972
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10078 Issued in TX
Practice address
5076 W Plano Pkwy
Plano, TX 75093-4471
Phone
(972) 733-0095
NPI assigned
Feb 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10078 TX Primary
Physician Assistant 363A00000X 2436 OK

Addresses

Primary practice location

5076 W Plano Pkwy
Plano, TX 75093-4471

Mailing address

5076 W Plano Pkwy
Plano, TX 75093-4471
Phone (972) 733-0095

Other names 1

  • Sarah Greene Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250501001714 CA Practitioner - Physician Assistant 3678891959 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10078TXMDChiropractor
2436OKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Citimed, P.a. Past Accepting new patients
Ahs Oklahoma Physician Group LLC Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sdefreitas235581@hpmg.direct-ci.net
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 3

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": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1801288972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5076 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934471",
            "telephone_number": "972-733-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5076 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934471",
            "telephone_number": "972-733-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFREITAS",
        "first_name": "SARAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "10078",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GREENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.