Active NPI
Sarah D Hasko, MSN, FNP-C
- Family Nurse Practitioner
- Fort Drum, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP7770
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158116 | Medicaid | AZ | |
| TBD | Other | AS | MEDICARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP7770 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Pain and Spine Institute PLLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Interventional Pain Medicine Physician
- Mesa, AZ
- NPI 1316147242
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.