Individual provider Active NPI

Sarah Son-Theroux, DNP-FNP

  • Nurse Practitioner
  • Sandwich, MA
National Provider Identifier
1023856895
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2303284 Issued in MA
Practice address
2 Jan Sebastian Dr Ste 100C
Sandwich, MA 02563-2382
Phone
(508) 833-8247
NPI assigned
Jul 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2303284 MA Primary

Addresses

Primary practice location

2 Jan Sebastian Dr Ste 100C
Sandwich, MA 02563-2382

Mailing address

PO Box 24
West Barnstable, MA 02668-0024
Phone (508) 367-5895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20250114001881 MA Practitioner - Nurse Practitioner 8123556461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Behavioral Care of Ma LLCGroup PAC ID 8628346731, 103 clinicians

Practice addresses (Care Compare)

44 School St
RM 325
Boston, MA 02108-4209
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2303284MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Behavioral Care of Ma LLC CurrentSince Apr 1, 2025 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Oct 12, 2024 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Oct 12, 2024 Accepting new patients

Locations

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

2 Jan Sebastian Dr
Sandwich, MA 02563
Phone (508) 833-8247

2 Jan Sebastian Dr
Ste 100C
Sandwich, MA 02563
Phone (508) 833-8247

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 3

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": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1023856895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24",
            "city": "WEST BARNSTABLE",
            "state": "MA",
            "postal_code": "026680024",
            "telephone_number": "508-367-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JAN SEBASTIAN DR STE 100C",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025632382",
            "telephone_number": "508-833-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SON-THEROUX",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "DNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2303284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandwich, MA

Sources for this page

Verify at the official NPI Registry.