Active NPI
Sandra Pearce
- Licensed Practical Nurse
- New Rochelle, NY
National Provider Identifier
1053053983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 243735
- Practice address
- 9 Edgewood Park # a
New Rochelle, NY 10801-4808 - Phone
- (914) 625-8689
- NPI assigned
- Apr 11, 2022
- 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 | 243735 | NY | Primary |
Addresses
Primary practice location
9 Edgewood Park # a
New Rochelle, NY 10801-4808
Mailing address
9 Edgewood Park
New Rochelle, NY 10801-4808
Phone (914) 625-8689
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | sandradawn2666@gmail.com |
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 |
|---|---|---|---|
| 243735 | NY | MD | Pediatric Critical Care Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649635200000",
"number": "1053053983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 EDGEWOOD PARK",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108014808",
"telephone_number": "914-625-8689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 EDGEWOOD PARK # A",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108014808",
"telephone_number": "914-625-8689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARCE",
"first_name": "SANDRA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-11",
"last_updated": "2022-04-11",
"certification_date": "2022-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "243735",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "sandradawn2666@gmail.com",
"affiliation": "N",
"address_1": "9 Edgewood Park",
"city": "New Rochelle",
"state": "NY",
"country_code": "US",
"postal_code": "108014808",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.