Healthcare Provider Details

I. General information

NPI: 1790107183
Provider Name (Legal Business Name): SARAH A PIKE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2014
Last Update Date: 12/21/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 LAUREL ST STE 1225
DES MOINES IA
50314-3017
US

IV. Provider business mailing address

PO BOX 677080
DALLAS TX
75267-7080
US

V. Phone/Fax

Practice location:
  • Phone: 515-633-3770
  • Fax: 515-288-6713
Mailing address:
  • Phone: 515-633-3600
  • Fax: 515-633-3838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA-101574
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: