Sarah Elizabeth Chitty
Individual provider Active NPI Family Nurse Practitioner · Canton, TX
NPI 1992569073 · NPPES record last updated Feb 9, 2024
Key facts
- NPI
- 1992569073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1152663 (TX)
- Practice address
- 100 Industrial Blvd
200
Canton, TX 75103 - Phone
- (430) 437-4083
- NPI assigned
- Feb 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Texas Emergency Physicians PLLC
Practice addresses (Care Compare)
800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 593-8441
Hospital & facility affiliations
- Christus Mother Frances Hospital
- Christus Mother Frances Hospital Sulphur Springs
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240521002542 | TX | Practitioner - Nurse Practitioner | 0143662254 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Texas Emergency Physicians, PLLC | Current |
Accepting new patients |
Locations
1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
8389 S Broadway Ave
Tyler, TX 75703
Phone (903) 606-4129
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1152663 | TX | Yes |
Addresses
Primary practice location
100 Industrial Blvd
200
Canton, TX 75103
Mailing address
100 Industrial Blvd
200
Canton, TX 75103
Phone (430) 437-4083
Other providers in Canton, TX
- Sherill Ann Pagdanganan Carreon
- Carry on Mobile Physical Therapy PLLC
- Valarie M Chambless
- Yidong Chen
- Milind Ranjit Chinoy
- Christus Trinity Clinic Texas
- Joni Coker
- Belinda Sue Collier
- Tiffany Nicole Corbett
- Emma Cotton
All providers in Canton, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.