Individual provider Active NPI

Sara Diane Underwood, APRN

  • Family Nurse Practitioner
  • Paragould, AR
National Provider Identifier
1922372952
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
218751 Issued in AR
Practice address
3501 Carriage Hill Dr Ste B
Paragould, AR 72450-5329
Phone
(870) 573-2200
Fax
(870) 573-2300
NPI assigned
Mar 8, 2012
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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 218751 AR Primary

Addresses

Primary practice location

3501 Carriage Hill Dr Ste B
Paragould, AR 72450-5329

Mailing address

3501 Carriage Hill Dr Ste B
Paragould, AR 72450-5329
Phone (870) 573-2200

Other identifiers 1

IdentifierTypeStateIssuer
218751OtherARARKANSAS STATE BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20220215000561 AR Practitioner - Nurse Practitioner 9133512155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carriage Hill Family Care, PLCGroup PAC ID 9133511447, 8 clinicians

Practice addresses (Care Compare)

3501 Carriage Hill Dr
Suite B
Paragould, AR 72450-5329
Phone (870) 573-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
218751ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carriage Hill Family Care, PLC Single Specialty CurrentSince Oct 16, 2023 Accepting new patients

Locations

3501 Carriage Hill Dr
#B
Paragould, AR 72450
Phone (870) 236-2911

Interoperability endpoints

  • Direct secure messaging: sunderwood@carriagehillfamily.qrsdm.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1922372952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 CARRIAGE HILL DR STE B",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505329",
            "telephone_number": "870-573-2200",
            "fax_number": "870-573-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 CARRIAGE HILL DR STE B",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505329",
            "telephone_number": "870-573-2200",
            "fax_number": "870-573-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "SARA",
        "middle_name": "DIANE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "218751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE BOARD OF NURSING",
            "identifier": "218751",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.