Individual provider Active NPI

Sara Elizabeth Wright, MSN, CRNP

  • Gerontology Nurse Practitioner
  • Kutztown, PA
National Provider Identifier
1104989094
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP-001133-H Issued in PA
Practice address
173 Clover Valley Rd
Kutztown, PA 19530-9171
Phone
(610) 683-6987
Fax
(610) 683-5839
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP-001133-H PA Primary

Addresses

Primary practice location

173 Clover Valley Rd
Kutztown, PA 19530-9171

Mailing address

173 Clover Valley Rd
Kutztown, PA 19530-9171
Phone (610) 683-6987

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
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP-001133-HPAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Choices Healthcare Past Accepting new patients

Organizations & group practices 1

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104989094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 CLOVER VALLEY RD",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195309171",
            "telephone_number": "610-683-6987",
            "fax_number": "610-683-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 CLOVER VALLEY RD",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195309171",
            "telephone_number": "610-683-6987",
            "fax_number": "610-683-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MSN, CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP-001133-H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kutztown, PA

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.

Verify at the official NPI Registry.