Individual provider Active NPI

Sabryn Aguilar, PA-C

  • Physician Assistant
  • Lacey, WA
National Provider Identifier
1922735802
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.PA.61571816 Issued in WA
Practice address
8140 Freedom LN NE Ste a
Lacey, WA 98516-4752
Phone
(253) 648-1853
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

State licenses

LicenseStateTypeSpecialty
PA.PA.61571816WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Spine and Sports Medicine PLLC CurrentSince Aug 11, 2024 Accepting new patients
Coast Spine and Sports Medicine PLLC PastSince Aug 11, 2024 Accepting new patients
Coast Spine and Sports Medicine PastSince Aug 27, 2023 Accepting new patients

Locations

8140 Freedom Ln NE
Ste A
Lacey, WA 98516
Phone (253) 648-1853

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA.PA.61571816 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

8140 Freedom LN NE Ste a
Lacey, WA 98516-4752

Mailing address

8140 Freedom LN NE Ste a
Lacey, WA 98516-4752
Phone (253) 648-1853

Other practice location 1

2727 Hollycroft St Ste 290
Gig Harbor, WA 98335-1305
Phone (253) 648-1853

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2024.

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1922735802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 FREEDOM LN NE STE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985164752",
            "telephone_number": "253-648-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 FREEDOM LN NE STE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985164752",
            "telephone_number": "253-648-1853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2727 Hollycroft St Ste 290",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983351305",
            "country_code": "US",
            "telephone_number": "253-648-1853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "SABRYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA.PA.61571816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.