Sage Creek Integrative Health LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAGE CREEK INTEGRATIVE HEALTH LLC

Practice address

304 W 39TH St
Kearney, NE 68845-2804

Phone

(308) 455-8255

NPI assigned

Aug 9, 2016

Last updated

Aug 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melinda S BarrattNPI 1225121361

Title

Member

Phone

(308) 455-8255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melinda S Barratt, DO

  • Family Medicine Physician
  • Broken Bow, NE
  • NPI 1225121361
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1861946790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W 39TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452804",
            "telephone_number": "308-455-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W 39TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452804",
            "telephone_number": "308-455-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE CREEK INTEGRATIVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "BARRATT",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "308-455-8255"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa Jo Ryan, M.S.ED., LIMHP
• Brianna Ryan
• Jacklin Saade
• Kylee Saathoff, OTR/L
• Benjamin Sachs, DC
• Ishrat A Saif, M.D.
• Katherine Elizabeth Salinas, APRN-NP
• Macey Jo Salpas
• Ramon R Salumbides, M.D.
• Karen Sue Salyer, MS, CCC/SLP

• Family Medicine Physician in Kearney, NE
• Providers in Kearney, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.