Individual provider Active NPI

Sarah Lynne Passage, R.N.

  • Home Health Registered Nurse
  • Wauwatosa, WI
National Provider Identifier
1861626947
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
165029030 Issued in WI
Practice address
8235 Gridley Ave
Wauwatosa, WI 53213-3039
Phone
(414) 517-1210
Fax
(414) 777-1607
NPI assigned
May 5, 2009
Last updated
May 5, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 165029030 WI Primary

Addresses

Primary practice location

8235 Gridley Ave
Wauwatosa, WI 53213-3039

Mailing address

8235 Gridley Ave
Wauwatosa, WI 53213-3039
Phone (414) 517-1210

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
165029030WIMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1861626947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 GRIDLEY AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532133039",
            "telephone_number": "414-517-1210",
            "fax_number": "414-777-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 GRIDLEY AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532133039",
            "telephone_number": "414-517-1210",
            "fax_number": "414-777-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSAGE",
        "first_name": "SARAH",
        "middle_name": "LYNNE",
        "name_prefix": "Miss",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "165029030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.