Individual provider Active NPI

Sarah A Ferrie, PA-C

  • Medical Physician Assistant
  • Waterbury, CT
National Provider Identifier
1255683876
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
002812 Issued in CT
Practice address
2247 E Main St
Suite 103
Waterbury, CT 06705-2604
Phone
(203) 757-3486
Fax
(203) 757-3723
NPI assigned
Oct 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 002812 CT Primary

Addresses

Primary practice location

2247 E Main St
Suite 103
Waterbury, CT 06705-2604

Mailing address

2247 E Main St
Suite 103
Waterbury, CT 06705-2604
Phone (203) 757-3486

Other identifiers 1

IdentifierTypeStateIssuer
004245272MedicaidCT

Other names 1

  • Sarah A Cordani Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130322000195 CT Practitioner - Physician Assistant 3779728787 Reassigns benefits to 1 organization
I20210111002906 MA Practitioner - Physician Assistant 3779728787 Reassigns benefits to 1 organization
I20210112001392 NY Practitioner - Physician Assistant 3779728787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
026597NYMDDentist
002812CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tristan Medical PC Current Accepting new patients
Hartford Healthcare Medical Group, Inc CurrentSince Oct 29, 2018 Accepting new patients
WRK Ventures, LLC Past Accepting new patients
CT Colony Emergency Physicians, LLC Past Accepting new patients

Locations

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

1340 Belmont St
Brockton, MA 02301
Phone (508) 559-5108

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3082/brand/1/csg/22/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1255683876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 E MAIN ST",
            "address_2": "SUITE 103",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067052604",
            "telephone_number": "203-757-3486",
            "fax_number": "203-757-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 E MAIN ST",
            "address_2": "SUITE 103",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067052604",
            "telephone_number": "203-757-3486",
            "fax_number": "203-757-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIE",
        "first_name": "SARAH",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "002812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004245272",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "CORDANI",
            "middle_name": "A",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.