Individual provider Active NPI

Sarah Dunham, FNP

  • Family Nurse Practitioner
  • Utica, NY
National Provider Identifier
1003367038
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340697 Issued in NY
Practice address
1650 Champlin Ave
Utica, NY 13502-4801
Phone
(315) 624-8400
NPI assigned
Oct 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 340697 NY Primary

Addresses

Primary practice location

1650 Champlin Ave
Utica, NY 13502-4801

Mailing address

2209 Genesee Street
Business Office Room 315
Utica, NY 13501
Phone (315) 801-3282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161114002018 NY Practitioner - Nurse Practitioner 3779862826 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
340697NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Healing Solutions LLC CurrentSince May 21, 2018 Accepting new patients
MVHS Inc CurrentSince Jan 27, 2020 Accepting new patients
Parcare Community Health Network Inc CurrentSince Feb 3, 2023 Accepting new patients
Parcare Community Health Network Inc CurrentSince Feb 3, 2023 Accepting new patients
MVHS Inc CurrentSince Jan 27, 2020 Accepting new patients
Scarborough Medical Services PC CurrentSince Feb 18, 2024 Accepting new patients

Locations

600 Clements Bridge Rd
Barrington, NJ 08007
Phone (609) 268-5517

1235 Upper Front St
#208
Binghamton, NY 13905

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

831 Bedford Ave
Brooklyn, NY 11205

6010 Bay Pkwy
Ste 603
Brooklyn, NY 11204
Phone (718) 236-7520

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

60 Broad St
New York, NY 10004
Phone (212) 785-0797

1650 Champlin Ave
Utica, NY 13502
Phone (315) 624-5145

2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1003367038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 GENESEE STREET",
            "address_2": "BUSINESS OFFICE ROOM 315",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13501",
            "telephone_number": "315-801-3282",
            "fax_number": "315-801-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024801",
            "telephone_number": "315-624-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "SARAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.