KATHRYN REBECCA SABO (NPI# 1790213536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790213536 |
| Entity Type | Individual |
| Full Name | KATHRYN REBECCA SABO |
| Credential | FNP-C |
| Practice Address |
160 Mine Lake Ct Ste 200 Raleigh NC 27615-6417 |
| Mailing Address |
3800 S Ocean Dr Ste 209 Hollywood FL 33019-2915 |
| Practice Telephone | 3054669988 |
| Practice Fax Number | 3054669989 |
| Mailing Telephone | 3054669988 |
| Mailing Fax Number | 3054669989 |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 5009526 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5009526 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RN | 238767 | 01 |
| NC | DEA | MS4345167 | 01 |
| NC | NURSE PRACTITIONER - FAMILY | 5009526 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 571 S Allen Rd, Flat Rock, NC 28731 | 8286926178 | 8282332594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942200035 | Kathryn A. Sabo | Physician Assistant | 3 Care Ln, Saratoga Springs, NY 12866-8639 | 2005-07-29 |
| Street Address |
160 MINE LAKE CT STE 200 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27615-6417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356524086 | Byron Keith Forgy | Surgery | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 | 2007-12-17 |
| 1295390557 | Prime Nc Health, LLC | Specialist/Technologist, Other | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 | 2019-05-02 |
| 1700360369 | Jessica Nicole Boggs | Nurse Practitioner | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 | 2018-09-19 |
| 1700267689 | Jennifer Mead Uebele | Nurse Practitioner | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 | 2015-06-16 |
| 1194102327 | Erin Miller | Physician Assistant | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 | 2015-04-27 |
| 1699163279 | Quality Surgical Management Pa | Surgery | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 | 2015-01-05 |
| 1154692143 | Brandon Gold | Physician Assistant | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 | 2012-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
| 1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
| 1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
| 1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
| 1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
| 1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
| 1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
| Find all providers in zip 27615 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558990 | Munira Amirali Ward | Nurse Practitioner | 2617 Valley Haven Dr, Raleigh, NC 27603-3197 | 2020-11-03 |
| 1710598644 | Nicole Dora Licato | Nurse Practitioner | 7200 Creedmoor Rd Ste 208, Raleigh, NC 27613-1711 | 2020-08-13 |
| 1316561178 | Mintoria Lynette Stockton | Nurse Practitioner | 8332 Mcguire Dr, Raleigh, NC 27616-5682 | 2020-06-07 |
| 1700407103 | Sadonna Marlene Sawyer | Nurse Practitioner | 3311 Grove Crabtree Cres Apt 122, Raleigh, NC 27613-3063 | 2020-04-27 |
| 1447879903 | Christapher Frank | Nurse Practitioner | 2034 Wesvill Court, Suite 320, Raleigh, NC 28326 | 2020-04-14 |
| 1265065015 | Shubham Tyagi | Nurse Practitioner | Duke Urgent Care Brier Creek, 10211 Alm Street Suite 1200, Raleigh, NC 27617-2761 | 2020-02-20 |
| 1073163812 | Taylor Brooke Lawrence | Nurse Practitioner | 10208 Cerny St Ste 301, Raleigh, NC 27617-1000 | 2019-09-13 |
| 1811456320 | Elizabeth Campbell Mcgrath | Nurse Practitioner | 2615 Lake Dr Ste 201, Raleigh, NC 27607-6694 | 2019-03-14 |
| 1922578541 | Dorothy Nwizu | Nurse Practitioner | 608 Kavkaz St, Raleigh, NC 27610-3176 | 2018-11-26 |
| 1265900013 | Patricia-marie Edge Odom | Nurse Practitioner | 3000 New Bern Ave Ste G100, Raleigh, NC 27610-1231 | 2018-11-09 |
| Find all providers in RALEIGH | ||||
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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.