Sara Vennard, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

021567 Issued in NY

Practice address

130 Albany Ave
Cobleskill, NY 12043

Phone

(518) 255-5225

Fax

(518) 255-5819

NPI assigned

Oct 23, 2017

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 identifiers 1

Other names 1

• Ms. Sara Harrison Former name

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: sharrison13280@bassett.direct-ci.net

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.

• Mary Imogene Bassett Hospital

  dba Bassett Medical Center

  • Multi-Specialty Clinic/Center
  • Cooperstown, NY
  • NPI 1083664221
  Medicare reassignment

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1316458979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ALBANY AVE",
            "city": "COBLESKILL",
            "state": "NY",
            "postal_code": "12043",
            "telephone_number": "518-255-5225",
            "fax_number": "518-255-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ALBANY AVE",
            "city": "COBLESKILL",
            "state": "NY",
            "postal_code": "12043",
            "telephone_number": "518-255-5225",
            "fax_number": "518-255-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENNARD",
        "first_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05001863",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "HARRISON",
            "prefix": "MS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Sharon Tunney
• Joseph Ulmschneider, PT
• Kerry Murphy Utstein, PA-C
• Christopher Jay Vandeusen, F.N.P.
• Catherine A Vansteenburg
• Village Eye Care Inc
• Village of Cobleskill
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2135)
• Wal-Mart Stores East, LP (Vision Center 30-2135)
• Walgreen Co (Walgreens #17390)

• Physician Assistant in Cobleskill, NY
• Providers in Cobleskill, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.