Active NPI
Sara Beth Massey/Behrbom, LPN
- Licensed Practical Nurse
- New Paltz, NY
National Provider Identifier
1033435177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 299767
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 299767 | NY | MD | Licensed 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.