Organization Active NPI

Sanctuary Health, LLC

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1982475612
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SANCTUARY HEALTH, LLC
Practice address
9209 Hickory St
Omaha, NE 68124-1242
Phone
(402) 507-1388
NPI assigned
Jan 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Sara Sinclair, NP-CNPI 1427579739
Title
Owner
Phone
(402) 302-1331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

9209 Hickory St
Omaha, NE 68124-1242

Mailing address

9209 Hickory St
Omaha, NE 68124-1242
Phone (402) 302-1331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240919002809 NE Part B Supplier - Clinic/Group Practice 0143761916 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE
O20260115001001 IA Part B Supplier - Clinic/Group Practice 0143761916 Receives reassigned benefits from 1 practitioner
Practice locations: Council Bluffs, IA

National Provider Directory

National Provider Directory

Locations

2205 S 10th St
Omaha, NE 68108
Phone (402) 280-1852

3030 S 80th St
Omaha, NE 68124
Phone (402) 391-8566

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1982475612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9209 HICKORY ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241242",
            "telephone_number": "402-302-1331",
            "fax_number": "402-948-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 HICKORY ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241242",
            "telephone_number": "402-507-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "SINCLAIR",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-302-1331",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.