Active NPI
Sarah Jane Tyner, MSN, RN, NNP
- Neonatal Nurse Practitioner
- Baldwinsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 35-350409
- Practice address
- 7675 Poplar Field Cir
Baldwinsville, NY 13027-9350 - Phone
- (305) 915-5133
- Fax
- (315) 638-6240
- NPI assigned
- Oct 30, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 35-350409 | NY | Primary |
| Nurse Practitioner | 363L00000X | 350409 | NY |
Addresses
Primary practice location
7675 Poplar Field Cir
Baldwinsville, NY 13027-9350
Mailing address
7675 Poplar Field Cir
Baldwinsville, NY 13027-9350
Phone (305) 915-5133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350409 | NY | MD | Nurse Practitioner |
| 35-350409 | NY | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Physician Health, P.C. | Current | Accepting new patients | |
| St. Peter'S Hospital of the City of Albany | Nurse Practitioner | Current | Accepting new patients |
| St Josephs Medical PC | Current | Accepting new patients | |
| St. Peter'S Hospital of the City of Albany | Nurse Practitioner | Current | Accepting new patients |
| Oswego Hospital | Past | Accepting new patients |
Locations
315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
Interoperability endpoints
- styner2387773@direct.trinity-health.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1942501747
-
- Anesthesiology Physician
- Troy, NY
- NPI 1154376770
-
- General Acute Care Hospital
- Albany, NY
- NPI 1518042357
Nurse Practitioner
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
Nurse Practitioner
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1174075774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7675 POPLAR FIELD CIR",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130279350",
"telephone_number": "305-915-5133",
"fax_number": "315-638-6240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7675 POPLAR FIELD CIR",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130279350",
"telephone_number": "305-915-5133",
"fax_number": "315-638-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYNER",
"first_name": "SARAH",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "MSN, RN, NNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-30",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "NY",
"license": "35-350409",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "350409",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baldwinsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.