Active NPI
Sabryn Aguilar, PA-C
- Physician Assistant
- Lacey, WA
National Provider Identifier
1922735802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.PA.61571816
- 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.
-
- Physical Medicine & Rehabilitation Physician
- Lacey, WA
- NPI 1790401016
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Gig Harbor, WA
- NPI 1831972793
-
- Physical Medicine & Rehabilitation Physician
- Puyallup, WA
- NPI 1114509460
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA.PA.61571816 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast Spine and Sports Medicine PLLC | Current | Accepting new patients | |
| Coast Spine and Sports Medicine PLLC | Past | Accepting new patients | |
| Coast Spine and Sports Medicine | Past | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA.PA.61571816 | WA | Primary |
Addresses
NPPES NPI RegistryPrimary 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.