Basic Information
Provider Information
NPI: 1285932558
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SEARS
FirstName: SARAH
MiddleName: CUMMINGS
NamePrefix: MRS.
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1850 W ARLINGTON BLVD
Address2:  
City: GREENVILLE
State: NC
PostalCode: 278345704
CountryCode: US
TelephoneNumber: 2524136740
FaxNumber: 2527526600
Practice Location
Address1: 2251 STANTONSBURG RD
Address2:  
City: GREENVILLE
State: NC
PostalCode: 278342841
CountryCode: US
TelephoneNumber: 2527573131
FaxNumber: 2527579600
Other Information
ProviderEnumerationDate: 03/10/2011
LastUpdateDate: 09/08/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/08/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X237628NCN Nursing Service ProvidersRegistered Nurse 
367A00000X594NCY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


Home