Active NPI
Sandra Broadhurst, FNP
- Family Nurse Practitioner
- Mount Kisco, NY
National Provider Identifier
1104927532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F332527
- Practice address
- 400 E Main St
Northern Westchester Hospital Emergency Department
Mount Kisco, NY 10549-3417 - Phone
- (914) 666-1200
- Fax
- (914) 666-1965
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F332527 | NY | Primary |
Addresses
Primary practice location
400 E Main St
Northern Westchester Hospital Emergency Department
Mount Kisco, NY 10549-3417
Mailing address
Northern Westchester Hospital 400 East Main Street
Emergency Department
Mt Kisco, NY 10549
Phone (914) 666-1200
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F332527 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104927532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NORTHERN WESTCHESTER HOSPITAL 400 EAST MAIN STREET",
"address_2": "EMERGENCY DEPARTMENT",
"city": "MT KISCO",
"state": "NY",
"postal_code": "10549",
"telephone_number": "914-666-1200",
"fax_number": "914-666-1965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E MAIN ST",
"address_2": "NORTHERN WESTCHESTER HOSPITAL EMERGENCY DEPARTMENT",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493417",
"telephone_number": "914-666-1200",
"fax_number": "914-666-1965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROADHURST",
"first_name": "SANDRA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F332527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.