Sara Koenig, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

18577 Issued in CA

Practice address

5 Bon Air Road
Ste. 105
Larkspur, CA 94939

Phone

(415) 461-0440

Fax

(415) 461-3792

NPI assigned

Nov 18, 2008

Last updated

Dec 21, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: skoenig@tampeds.pcc-direct.com

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1144475112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BON AIR ROAD",
            "address_2": "STE. 105",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "94939",
            "telephone_number": "415-461-0440",
            "fax_number": "415-461-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BON AIR ROAD",
            "address_2": "STE. 105",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "94939",
            "telephone_number": "415-461-0440",
            "fax_number": "415-461-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "SARA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "18577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Brookes Kift, LMFT
• John H. Kim, PA-C
• Oana L. Klein, MD
• Claudia Knaack
• Sarah Anne Koch-Schiller, MFTI
• Michael John Koppe, DDS
• Patricia Alison Kreshin, MD
• Lindsey Kuroda, PT
• Kin Man Lai, MD
• Sarah M Lamb, RN, CNS, MS

• Pediatric Nurse Practitioner in Larkspur, CA
• Providers in Larkspur, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.