MEDICARE: MRS. SARAH THOMAS CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	5022677	NC

General Provider Information

NPI Number	:	1598193468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH THOMAS CNP

Provider Business Mailing Address
First Line	:	3001 LYNDHURST AVE
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-4007
Country	:	US
Telephone Number	:	870-897-4345
Fax Number	:	336-768-1737

Provider Business Practice Location Address
First Line	:	3001 LYNDHURST AVE
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-4007
Country	:	US
Telephone Number	:	870-972-4100
Fax Number	:	336-768-1737

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2013
Last Update Date	:	02/25/2026

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