Individual provider Active NPI

Sandra Ann Krafsig, RN, MS, CDE

  • Diabetes Educator Registered Nurse
  • Marlborough, MA
National Provider Identifier
1194928341
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
111362 Issued in MA
Practice address
157 Union St
Marlborough, MA 01752-1228
Phone
(508) 486-5430
Fax
(508) 229-1201
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

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
Diabetes Educator Registered Nurse 163WD0400X 111362 MA Primary

Addresses

Primary practice location

157 Union St
Marlborough, MA 01752-1228

Mailing address

20 Juniper Brook Rd
Northborough, MA 01532-2344
Phone (508) 393-2866

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)
Not enrolled
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
111362MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194928341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 JUNIPER BROOK RD",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322344",
            "telephone_number": "508-393-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 UNION ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521228",
            "telephone_number": "508-486-5430",
            "fax_number": "508-229-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFSIG",
        "first_name": "SANDRA ANN",
        "name_prefix": "Mrs.",
        "credential": "RN, MS, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MA",
            "license": "111362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

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.