Active NPI
Sarah Vernon, L.P.N.
- Licensed Practical Nurse
- South Glens Falls, NY
National Provider Identifier
1225388085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 311037-1
- Practice address
- 10 Brentwood Dr
South Glens Falls, NY 12803-5456 - Phone
- (518) 361-8750
- NPI assigned
- Sep 19, 2012
- Last updated
- Sep 19, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 311037-1 | NY | Primary |
Addresses
Primary practice location
10 Brentwood Dr
South Glens Falls, NY 12803-5456
Mailing address
10 Brentwood Dr
South Glens Falls, NY 12803-5456
Phone (518) 361-8750
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311037-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1225388085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BRENTWOOD DR",
"city": "SOUTH GLENS FALLS",
"state": "NY",
"postal_code": "128035456",
"telephone_number": "518-361-8750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BRENTWOOD DR",
"city": "SOUTH GLENS FALLS",
"state": "NY",
"postal_code": "128035456",
"telephone_number": "518-361-8750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNON",
"first_name": "SARAH",
"name_prefix": "Ms.",
"credential": "L.P.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-19",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "311037-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.