Active NPI
Sara Burley
- Registered Nurse
- Fairbanks, AK
National Provider Identifier
1952954232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 35209
- Practice address
- 650 Younker CT
Fairbanks, AK 99701-7586 - Phone
- (907) 456-1053
- NPI assigned
- Jul 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 35209 | AK | Primary |
Addresses
Primary practice location
650 Younker CT
Fairbanks, AK 99701-7586
Mailing address
650 Younker CT
Fairbanks, AK 99701-7586
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 |
|---|---|---|---|
| 35209 | AK | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairbanks Native Association | Current | Accepting new patients |
Locations
650 Younker Ct
Fairbanks, AK 99701
Phone (907) 328-7822
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/fairbanksnative/r4/
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 and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Fairbanks, AK
- NPI 1134764913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1952954232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 YOUNKER CT",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997017586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 YOUNKER CT",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997017586",
"telephone_number": "907-456-1053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURLEY",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "35209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.