Individual provider Active NPI

Sarah Tritt Eannarelli, FNP

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1942743448
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132701 Issued in TX
Practice address
100 Medical Center Blvd Ste 110
Conroe, TX 77304-2821
Phone
(936) 441-7300
Fax
(936) 760-4439
NPI assigned
Dec 1, 2016
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP132701 TX Primary
Family Medicine Physician 207Q00000X AP132701 TX

Addresses

Primary practice location

100 Medical Center Blvd Ste 110
Conroe, TX 77304-2821

Mailing address

100 Medical Center Blvd Ste 110
Conroe, TX 77304-2821
Phone (936) 788-4481

Other identifiers 1

IdentifierTypeStateIssuer
3677189MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210630001392 TX Practitioner - Nurse Practitioner 9739580572 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yousuf Ahmed MD PA Single Specialty CurrentSince Mar 16, 2021 Accepting new patients
Abbas Jafri MD PA Single Specialty PastSince Mar 16, 2021 Accepting new patients

Locations

100 Medical Center Blvd
Ste 110
Conroe, TX 77304
Phone (936) 441-7300

Interoperability endpoints

  • Direct secure messaging: seannarelli155625@memorialhermann.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1942743448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD STE 110",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042821",
            "telephone_number": "936-788-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD STE 110",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042821",
            "telephone_number": "936-441-7300",
            "fax_number": "936-760-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EANNARELLI",
        "first_name": "SARAH",
        "middle_name": "TRITT",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132701",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP132701",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3677189",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.