Healthcare Provider Details

I. General information

NPI: 1093692501
Provider Name (Legal Business Name): SARAH K SIMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 GARDENIA DR STE B
COVINGTON LA
70433-9196
US

IV. Provider business mailing address

PO BOX 669379
DALLAS TX
75266-9379
US

V. Phone/Fax

Practice location:
  • Phone: 985-898-4001
  • Fax:
Mailing address:
  • Phone: 985-898-4001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number245491
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: