Individual provider Active NPI

Sarah Elizabeth Kavalauskas, CNP

  • Family Nurse Practitioner
  • Lima, OH
National Provider Identifier
1982093696
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16971 Issued in OH
Practice address
2335 Baton Rouge
Lima, OH 45805-1129
Phone
(419) 905-6485
Fax
(651) 265-3111
NPI assigned
Jan 19, 2015
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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 16971 OH Primary

Addresses

Primary practice location

2335 Baton Rouge
Lima, OH 45805-1129

Mailing address

2335 Baton Rouge
Lima, OH 45805-1129
Phone (419) 905-6485

Other identifiers 1

IdentifierTypeStateIssuer
0121417MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150316001938 OH Practitioner - Nurse Practitioner 2668799404 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16971OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Health Solutions LLC CurrentSince Jan 31, 2015 Accepting new patients
Incare Health Solutions, LLC Family CurrentSince Jan 31, 2015 Accepting new patients
365 Beauty & Aesthetics LLC Family CurrentSince Jul 1, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2335 Baton Rouge
Lima, OH 45805
Phone (419) 905-6485

712 W North St
Lima, OH 45801
Phone (419) 221-3097

175 Edgefield Blvd
Marion, OH 43302
Phone (740) 751-6433

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

Organizations & group practices 4

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": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1982093696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 BATON ROUGE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051129",
            "telephone_number": "419-905-6485",
            "fax_number": "651-265-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 BATON ROUGE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051129",
            "telephone_number": "419-905-6485",
            "fax_number": "651-265-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVALAUSKAS",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-19",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "16971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121417",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.