Individual provider Active NPI

Sara Beth Massey/Behrbom, LPN

  • Licensed Practical Nurse
  • New Paltz, NY
National Provider Identifier
1033435177
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
299767 Issued in NY
Practice address
RT 32 New Paltz Ny 12561
New Paltz, NY 12561
Phone
(845) 706-2511
NPI assigned
Apr 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 299767 NY Primary

Addresses

Primary practice location

RT 32 New Paltz Ny 12561
New Paltz, NY 12561

Mailing address

318 RT 32 South New Paltz Ny 12561
New Paltz, NY 12561
Phone (845) 706-2573

Other names 1

  • Mrs. Sara Beth Whitaker/Massey Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
299767NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1033435177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 RT 32 SOUTH NEW PALTZ NY 12561",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "12561",
            "telephone_number": "845-706-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 32 NEW PALTZ NY 12561",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "12561",
            "telephone_number": "845-706-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY/BEHRBOM",
        "first_name": "SARA",
        "middle_name": "BETH",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2024-11-04",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "299767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "WHITAKER/MASSEY",
            "middle_name": "BETH",
            "prefix": "MRS.",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Paltz, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.