Individual provider Active NPI

Sarah L Hughes, PA

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1861421513
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2553 Issued in AZ
Practice address
20040 N 19TH Ave
Phoenix, AZ 85027-4255
Phone
(623) 869-5000
NPI assigned
Jul 2, 2006
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2553 AZ Primary

Addresses

Primary practice location

20040 N 19TH Ave
Phoenix, AZ 85027-4255

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 838-8265

Other identifiers 1

IdentifierTypeStateIssuer
2553OtherAZLICENSE

Other names 1

  • Sarah L Kimbell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pasarah@cox.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050707000625 AZ Practitioner - Physician Assistant 2365488749 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2553AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Larry D. Stark, D.O., P.C. CurrentSince Sep 1, 2020 Accepting new patients
Stellar Family Medical Clinic LLC CurrentSince Nov 19, 2023 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Nov 1, 2021 Accepting new patients
Empower Emergency Physicians, PC Past Accepting new patients

Locations

20040 N 19th Ave
Phoenix, AZ 85027
Phone (602) 249-0115

3201 W Peoria Ave
Ste A100
Phoenix, AZ 85029
Phone (480) 256-1625

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

8041 N Black Canyon Hwy
Phoenix, AZ 85021
Phone (602) 249-0115

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1861421513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-838-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20040 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274255",
            "telephone_number": "623-869-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "SARAH",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2553",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pasarah@cox.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "3201 W Peoria Ave Ste A100",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850294609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "KIMBELL",
            "middle_name": "L",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.