SARA DOUGLAS (NPI# 1295190304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295190304 |
| Entity Type | Individual |
| Full Name | SARA DOUGLAS |
| Credential | NP |
| Practice Address |
1705 W Main St Mesa AZ 85201-6920 |
| Mailing Address |
3033 N Central Ave Ste 145 Phoenix AZ 85012-2808 |
| Practice Telephone | 8778095092 |
| Mailing Telephone | 6235833001 |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
225858 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN002052 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265914097 | Sara Ashley Douglas | Case Manager/Care Coordinator | 201 Hospital Dr, Dover, OH 44622-2058 | 2018-08-29 |
| 1598266256 | Sara Elizabeth Douglas | Counselor | 650 Clark Way, Palo Alto, CA 94304-2300 | 2018-02-27 |
| 1013328350 | Sara Douglas | Technician, Other | 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 | 2014-05-08 |
| 1639154016 | Sara Douglas | Nurse Practitioner | 226 Bluebell Rd, Cedar Falls, IA 50613-6328 | 2005-12-08 |
| Street Address |
1705 W MAIN ST |
| City | MESA |
| State | AZ |
| Zip Code | 85201-6920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891781027 | Martin Catero | Family Medicine | 1705 W Main St, Mesa, AZ 85201-6920 | 2005-09-22 |
| 1417573577 | Carlos A Briseno | Dental Hygienist | 1705 W Main St, Mesa, AZ 85201-6920 | 2020-06-24 |
| 1013476571 | Adelante Healthcare, Inc | Community/Behavioral Health | 1705 W Main St, Mesa, AZ 85201-6920 | 2019-03-14 |
| 1356851489 | Jean Marie Brady | Dental Hygienist | 1705 W Main St, Mesa, AZ 85201-6920 | 2017-10-03 |
| 1740635721 | Andrew John Chin | Internal Medicine | 1705 W Main St, Mesa, AZ 85201-6920 | 2016-04-27 |
| 1326421108 | Zoe Alyssa Cappe | Family Medicine | 1705 W Main St, Mesa, AZ 85201-6920 | 2015-06-30 |
| 1720467418 | Sung E Cho | Nurse Practitioner | 1705 W Main St, Mesa, AZ 85201-6920 | 2015-05-27 |
| 1700264082 | Michael B. Bayless & Associates, Inc | Community/Behavioral Health | 1705 W Main St, Mesa, AZ 85201-6920 | 2015-05-07 |
| 1760884001 | Larisa R Smith | Dentist | 1705 W Main St, Mesa, AZ 85201-6920 | 2014-09-18 |
| 1144643040 | Gina Reyes | Psychologist | 1705 W Main St, Mesa, AZ 85201-6920 | 2014-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926410 | Matthew Derrick Miller | Nurse Practitioner | 9354 E Thatcher Cir, Mesa, AZ 85212-8539 | 2020-09-12 |
| 1750995858 | Hayley Madler | Nurse Practitioner | 1061 N Omaha Cir, Mesa, AZ 85205-5023 | 2020-09-04 |
| 1043823800 | Nancy Lynn Mitchell | Nurse Practitioner | 1535 N 26th St, Mesa, AZ 85213-4151 | 2020-08-30 |
| 1003429218 | Krista Ann Clevenger | Nurse Practitioner | 3155 E Southern Ave Ste 203, Mesa, AZ 85204-5521 | 2020-08-26 |
| 1093326290 | Joshua Jackson | Nurse Practitioner | 5432 E Southern Ave Ste 101b, Mesa, AZ 85206-2772 | 2020-08-11 |
| 1790395531 | Kelly C Banonis | Nurse Practitioner | 3322 N Brighton, Mesa, AZ 85207-0997 | 2020-08-06 |
| 1689284911 | Katie Keil | Nurse Practitioner | 1061 N Dobson Rd Ste 107, Mesa, AZ 85201-7576 | 2020-08-02 |
| 1831711670 | Saraswati Hamal | Nurse Practitioner | 4850 S Curie Way, Mesa, AZ 85212-9582 | 2020-05-14 |
| 1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
| 1659992436 | Elizabeth Erb | Nurse Practitioner | 1361 S Alma School Rd, Mesa, AZ 85210-2085 | 2020-05-02 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.