Individual provider Active NPI

Kristin E Sapanaro, APRN

  • Family Nurse Practitioner
  • Rye Brook, NY
National Provider Identifier
1376897454
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339173 Issued in NY
Practice address
26 Rye Ridge PLZ
Rye Brook, NY 10573-2820
Phone
(914) 251-1100
Fax
(914) 251-1109
NPI assigned
Oct 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 005730 CT
Family Nurse Practitioner 363LF0000X 9264721 FL
Family Nurse Practitioner 363LF0000X 339173 NY Primary

Addresses

Primary practice location

26 Rye Ridge PLZ
Rye Brook, NY 10573-2820

Mailing address

26 Rye Ridge PLZ
Rye Brook, NY 10573-2820
Phone (914) 251-1100

Other names 1

  • Miss Kristin Elena Leone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20181203001398 CT Practitioner - Nurse Practitioner 2365786381 Reassigns benefits to 1 organization
I20181207000463 NY Practitioner - Nurse Practitioner 2365786381 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005730CTMDFamily Nurse Practitioner
9264721FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Oct 21, 2018 Accepting new patients
Northeast Medical Group, PLLC CurrentSince Oct 21, 2018 Accepting new patients

Locations

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

26 Rye Ridge Plz
Rye Brook, NY 10573
Phone (914) 251-1100

18 Rye Ridge Plz
Rye Brook, NY 10573
Phone (914) 253-9252

Interoperability endpoints

  • Direct secure messaging: ksapanaro174510@direct.ynhh.org

Organizations & group practices 2

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": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1376897454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 RYE RIDGE PLZ",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732820",
            "telephone_number": "914-251-1100",
            "fax_number": "914-251-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 RYE RIDGE PLZ",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732820",
            "telephone_number": "914-251-1100",
            "fax_number": "914-251-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPANARO",
        "first_name": "KRISTIN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "005730",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9264721",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "LEONE",
            "middle_name": "ELENA",
            "prefix": "MISS",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rye Brook, NY

Sources for this page

Verify at the official NPI Registry.