Taylor Marie Sansevero, DNP, APRN, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

9028 Issued in CT

Practice address

35 Saybrook Rd Ste 1
Essex, CT 06426-1190

Phone

(860) 767-0168

NPI assigned

Dec 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Taylor Marie Jendras Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

Practice roles

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.

• Wildwood Pediatrics and Adolescent Medicine LLC

  • Pediatrics Physician
  • Essex, CT
  • NPI 1750405023
  NPD (past)

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1295330769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SAYBROOK RD STE 1",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261190",
            "telephone_number": "860-767-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SAYBROOK RD STE 1",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261190",
            "telephone_number": "860-767-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSEVERO",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "9028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "JENDRAS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ewa T Ruggieri, M.D.
• Mary Ellen Ruggiero, RN HCSW
• Michaela Russell
• Adam J Russo, MS
• Darcy Rzepka, OTR/L
• Michael M. Sasportas, M.S.W.
• Moheba Sayed, LPC
• Michele Marie Schavoir, RN, CDOE
• Susan A Scott, LMFT
• Emily M Searle, DPT

• Pediatric Nurse Practitioner in Essex, CT
• Providers in Essex, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.