Individual provider Active NPI

Seethal Sara Thomas, FNP-BC, RN-BSN

  • Family Nurse Practitioner
  • Astoria, NY
National Provider Identifier
1245815067
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
347425 Issued in NY
Practice address
3101 Ditmars Blvd
Astoria, NY 11105-2304
Phone
(718) 545-0128
NPI assigned
Mar 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 347425 NY Primary

Addresses

Primary practice location

3101 Ditmars Blvd
Astoria, NY 11105-2304

Mailing address

1456 31St Dr Apt 9C
Astoria, NY 11106-4572

Other practice location 1

1456 31st Dr Apt 9C
Astoria, NY 11106-4572
Phone (845) 269-8341

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1245815067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 31ST DR APT 9C",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111064572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 DITMARS BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052304",
            "telephone_number": "718-545-0128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1456 31st Dr Apt 9C",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111064572",
            "country_code": "US",
            "telephone_number": "845-269-8341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SEETHAL",
        "middle_name": "SARA",
        "credential": "FNP-BC, RN-BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.