SARA PATRICE STARK FNP-C NPI 1992317390

NPI Information

NPI: 1992317390
Provider Name: SARA PATRICE STARK, FNP-C
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: KETAMINE CA PC

PECOS Registration: Yes

Address:
3008 SILLECT AVE STE 240
BAKERSFIELD, CA
ZIP 93308
Phone: (661) 616-9300
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Sara Patrice Stark, FNP-C is a primary care nurse practitioner in Bakersfield, CA with 4 years of experience. Sara Patrice Stark, FNP-C NPI is 1992317390. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3008 SILLECT AVE STE 240
BAKERSFIELD, CA
ZIP 93308-326
Phone: (661) 616-9300
Fax: (661) 616-9303

The NPI 1992317390 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/18/2020 and was last updated on 8/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	95015171	CALIFORNIA	No
2	363LP2300X	Nurse Practitioner	Primary Care	95015171	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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