Individual provider Active NPI

Sarah Christine Gregg, NP-C

  • Family Nurse Practitioner
  • La Grande, OR
National Provider Identifier
1881159754
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201900772NP-PP Issued in OR
Practice address
202 12TH St
La Grande, OR 97850-2879
Phone
(541) 963-0627
Fax
(541) 963-2809
NPI assigned
Feb 5, 2019
Last updated
Feb 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201900772NP-PP OR Primary

Addresses

Primary practice location

202 12TH St
La Grande, OR 97850-2879

Mailing address

202 12TH St
La Grande, OR 97850-2879
Phone (541) 963-0627

Other practice location 1

77 Wainwright Dr
Walla Walla, WA 99362-3975
Phone (509) 525-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20200624003058 OR Order and Referring Only - Nurse Practitioner 9931521754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1881159754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 12TH ST",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502879",
            "telephone_number": "541-963-0627",
            "fax_number": "541-963-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 12TH ST",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502879",
            "telephone_number": "541-963-0627",
            "fax_number": "541-963-2809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Wainwright Dr",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993623975",
            "country_code": "US",
            "telephone_number": "509-525-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGG",
        "first_name": "SARAH",
        "middle_name": "CHRISTINE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201900772NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

Verify at the official NPI Registry.