Provider Demographics
NPI:1578504858
Name:MEADE, SARAH BETH (P/MHNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:BETH
Last Name:MEADE
Suffix:
Gender:F
Credentials:P/MHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 S MACGREGOR WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-1032
Mailing Address - Country:US
Mailing Address - Phone:713-741-5000
Mailing Address - Fax:713-741-5049
Practice Address - Street 1:2800 S MACGREGOR WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-1032
Practice Address - Country:US
Practice Address - Phone:713-741-5000
Practice Address - Fax:713-741-5049
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4670P363LP0808X
TX1079488363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000384126OtherANTHEM
11574928OtherCAQH
KY30605018Medicaid
KY373348OtherTRICARE
KY0690938Medicare ID - Type UnspecifiedMEDICARE
KY0359290Medicare ID - Type UnspecifiedMEDICARE
KY0358992Medicare ID - Type UnspecifiedMEDICARE
KY0762234Medicare UPIN
0358690Medicare ID - Type Unspecified
KY30605018Medicaid
KY0763532Medicare ID - Type UnspecifiedMEDICARE
KY0974704Medicare ID - Type UnspecifiedMEDICARE
11574928OtherCAQH
KY0358892Medicare ID - Type UnspecifiedMEDICARE
KY0358790Medicare ID - Type UnspecifiedMEDICARE
KY0359092Medicare ID - Type UnspecifiedMEDICARE