Provider Demographics
NPI:1740788900
Name:SAPIO, SARAH HOULTON (NP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:HOULTON
Last Name:SAPIO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JANE
Other - Last Name:HOULTON-SIKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17446 RADCLIFFE PLACE DR
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63025-2351
Mailing Address - Country:US
Mailing Address - Phone:630-881-9889
Mailing Address - Fax:
Practice Address - Street 1:300 JUBILEE DR
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-4030
Practice Address - Country:US
Practice Address - Phone:855-841-4984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-23
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAH149613363LA2200X
IL209015608363LA2200X
MO2016041773363LA2200X, 363L00000X
NY308541363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health