SARAH LYBRAND (NPI# 1508245333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508245333 |
| Entity Type | Individual |
| Full Name | SARAH LYBRAND |
| Practice Address |
1739 E Beverly Ave Suite 102 Kingman AZ 86409-3593 |
| Mailing Address |
3269 Stockton Hill Rd Kingman AZ 86409-3619 |
| Practice Telephone | 9287570611 |
| Practice Fax Number | 9287571388 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 6060 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1739 E BEVERLY AVE SUITE 102 |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409-3593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680686 | Lorne Franklin Taylor | Obstetrics & Gynecology | 1739 E Beverly Ave, Ste 201, Kingman, AZ 86401-3593 | 2005-06-24 |
| 1083078349 | Lisa Marie Land | Nurse Practitioner | 1739 E Beverly Ave, Suite 203, Kingman, AZ 86409-3593 | 2016-04-12 |
| 1952767394 | Alexis Gaggini | Pharmacist | 1739 E Beverly Ave, Ste 107, Kingman, AZ 86409-3593 | 2016-01-14 |
| 1871979658 | Jennie Lynn Dugo | Nurse Practitioner | 1739 E Beverly Ave, Suite #118, Kingman, AZ 86409-3593 | 2015-08-04 |
| 1215315718 | Christopher Ryan Walsh | Nurse Practitioner | 1739 E Beverly Ave, Kingman, AZ 86409-3593 | 2015-05-15 |
| 1699052357 | Craig Stephen Kantack | Physician Assistant | 1739 E Beverly Ave, Suite #101, Kingman, AZ 86409-3593 | 2011-11-09 |
| 1205116423 | Linda Phan Williams | Pharmacist | 1739 E Beverly Ave, Ste 107, Kingman, AZ 86409-3593 | 2011-08-18 |
| 1487807848 | Annika Jeanette Bergeson | Nurse Practitioner | 1739 E Beverly Ave, Suite 106, Kingman, AZ 86409-3593 | 2008-10-29 |
| 1003076712 | J. Khan, LLC | Internal Medicine | 1739 E Beverly Ave, Suite 221, Kingman, AZ 86409-3593 | 2008-06-16 |
| 1891991642 | Keiko Sato Fakhraie | Family Medicine | 1739 E Beverly Ave, Suite 201, Kingman, AZ 86409-3593 | 2007-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
| 1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
| 1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
| 1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
| Find all providers in zip 86409 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235314089 | Ann Marie Garibaldi | Physician Assistant | 2226 Hualapai Mountain Rd Ste 101, Kingman, AZ 86401-8374 | 2007-12-28 |
| 1720059876 | Kathryn A Kimpler | Physician Assistant | 701 E A Ave, Kingman, KS 67068-1723 | 2006-01-27 |
| 1992792758 | Kurtis A Manley | Physician Assistant | 2226 Hualapai Mountain Rd, Kingman, AZ 86401-8374 | 2005-10-05 |
| 1194350454 | Jeremy Bird | Physician Assistant | 3801 Santa Rosa Dr Ste 400, Kingman, AZ 86401-2311 | 2020-03-06 |
| 1134681281 | Binh Thanh Nguyen | Physician Assistant | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2019-04-05 |
| 1598243149 | Kaylee Mason Herrero | Physician Assistant | 1739 E Beverly Ave Ste 102, Kingman, AZ 86409-3593 | 2018-08-04 |
| 1689172629 | Victoria Rossi | Physician Assistant | 3801 Santa Rosa Dr, Kingman, AZ 86401 | 2018-01-24 |
| 1760735880 | Raice R Nelson | Physician Assistant | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2012-10-26 |
| 1225381858 | Jennifer Lauren Azbill | Physician Assistant | 3269 Stockton Hill Rd, Kingman, AZ 86409 | 2012-10-19 |
| 1720388481 | Patricia Diane Wise | Physician Assistant | 3931 Stockton Hill Rd, Suite C, Kingman, AZ 86409-2426 | 2010-10-28 |
| Find all providers in KINGMAN | ||||
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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.