Katherine L Sarsfield, AGCPNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

209-016032 Issued in IL

Practice address

751 N Rutledge St Ste 1700
Springfield, IL 62702-4968

Phone

(217) 545-8000

Fax

(217) 545-8163

NPI assigned

Oct 2, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rassik Complete Recovery Inc

  • Psychiatry Physician
  • Carbondale, IL
  • NPI 1720791437

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1154831303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 S WALNUT ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044050",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 N RUTLEDGE ST STE 1700",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024968",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARSFIELD",
        "first_name": "KATHERINE",
        "middle_name": "L",
        "credential": "AGCPNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209-016032",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209-016032",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209-016032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "209-016032",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amit Sapra, M.D.
• Noeen Sarfraz, MD
• Allison Danielle Sue Sarginson
• Samiha Sarkar
• Marc Christopher Sarmiento, O.D.
• Larry D. Sartore, CRNA
• Sarah E Sass, CRNA
• Areesha Satti, MD
• Blake Sattler
• Scott A Sattovia, MD

• Gerontology Nurse Practitioner in Springfield, IL
• Providers in Springfield, IL by specialty
• Gerontology Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.