Provider Demographics
NPI:1336122571
Name:HUNT, SARAH MARGARET (MS, FNP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MARGARET
Last Name:HUNT
Suffix:
Gender:F
Credentials:MS, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6626 E 75TH ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2805
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1402 E COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-0963
Practice Address - Country:US
Practice Address - Phone:317-887-7989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71000921A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
200311740G & JOtherHPN GRP MCD#,LOCATION
205110YYOtherHPN MEDICARE #
IN05-0611856OtherALLERGY ASSOC TAX ID
DE8663OtherRAILROAD MEDICARE GROUP
000000637387OtherHPN ANTHEM PIN#
IN200499310Medicaid
IN35-1113767OtherMC TAX ID
200499310OtherHPN INDIV MEDICAID #
200499310OtherHPN INDIV MEDICAID #
IN35-1113767OtherMC TAX ID
INP14549Medicare UPIN
IN200499310Medicaid