Individual provider Active NPI

Sarah D Hasko, MSN, FNP-C

  • Family Nurse Practitioner
  • Fort Drum, NY
National Provider Identifier
1386037216
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7770 Issued in AZ
Practice address
10020 Korengal Valley Rd
Fort Drum, NY 13602
Phone
(315) 772-2778
NPI assigned
Mar 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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 AP7770 AZ Primary

Addresses

Primary practice location

10020 Korengal Valley Rd
Fort Drum, NY 13602

Mailing address

10020 Korengal Valley
Fort Drum, NY 13602

Other practice location 1

20045 North 19TH Avenue
Building 10 Suite 3
Phoenix, AZ 85027
Phone (480) 626-2552

Other practice location 2

4838 East Baseline Road
Building 2 Suite 109
mesa, AZ 85206
Phone (480) 626-2552

Other practice location 3

9500 E Ironwood Square Dr Ste 125
Scottsdale, AZ 85258-4582
Phone (480) 626-2552

Other practice location 4

4838 East Baseline Road
Building 2 Suite 109
mesa, AZ 85206
Phone (480) 626-2552

Other identifiers 2

IdentifierTypeStateIssuer
158116MedicaidAZ
TBDOtherASMEDICARE

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
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP7770AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pain and Spine Institute PLLC PastSince Sep 1, 2007 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJJDAA

Organizations & group practices 1

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": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1386037216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 KORENGAL VALLEY",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "13602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 KORENGAL VALLEY RD",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "13602",
            "telephone_number": "315-772-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20045 NORTH 19TH AVENUE",
            "address_2": "BUILDING 10 SUITE 3",
            "address_purpose": "LOCATION",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85027",
            "country_code": "US",
            "telephone_number": "480-626-2552",
            "fax_number": "480-626-2551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4838 East Baseline Road",
            "address_2": "Building 2 Suite 109",
            "address_purpose": "LOCATION",
            "city": "mesa",
            "state": "AZ",
            "postal_code": "85206",
            "country_code": "US",
            "telephone_number": "480-626-2552",
            "fax_number": "480-626-2551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 E Ironwood Square Dr Ste 125",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584582",
            "country_code": "US",
            "telephone_number": "480-626-2552",
            "fax_number": "480-626-2551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4838 East Baseline Road",
            "address_2": "Building 2 Suite 109",
            "address_purpose": "LOCATION",
            "city": "mesa",
            "state": "AZ",
            "postal_code": "85206",
            "country_code": "US",
            "telephone_number": "480-626-2552",
            "fax_number": "480-626-2551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASKO",
        "first_name": "SARAH",
        "middle_name": "D",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158116",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TBD",
            "state": "AS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Drum, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.