Sarah Kristine Dvorak, CCNS, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

284789 Issued in NC

Practice address

1207 Walter Reed Rd
Fayetteville, NC 28304-4437

Phone

(910) 703-8718

Fax

(910) 703-8721

NPI assigned

May 19, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Ms. Sarah Kristine Prochaska Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821223900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 WHISPERING PINES DR",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283909327",
            "telephone_number": "910-814-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 WALTER REED RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044437",
            "telephone_number": "910-703-8718",
            "fax_number": "910-703-8721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4050 W Memorial Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731208382",
            "country_code": "US",
            "telephone_number": "405-608-3800",
            "fax_number": "405-608-3838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4050 W Memorial Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731208382",
            "country_code": "US",
            "telephone_number": "405-608-3800",
            "fax_number": "405-608-3838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DVORAK",
        "first_name": "SARAH",
        "middle_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "CCNS, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0083426",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "284789",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "83426",
            "primary": false
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "OK",
            "license": "83426",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "284789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200282900A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "PROCHASKA",
            "middle_name": "KRISTINE",
            "prefix": "MS.",
            "credential": "APRN, CCNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dwight Leon Dunning Sr., LCMHC
• Bryan Dunston, DDS
• Ebony Dupree
• Breanna Maree Duso, DPT
• Jui Dutta
• Ghanshyam Pradyumna Dwivedi, MD
• Ashley Dawn Marie Dykens, BCABA
• Dynamic Care Home
• Dynamic Connections PLLC
• Dynamics of Care Services LLC

• Family Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.