Sara Kathryn Ehleben, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2776621 Issued in NY

Practice address

17 Brook Farm Road East
Bedford, NY 10506-0614

Phone

(914) 205-3207

NPI assigned

Nov 16, 2007

Last updated

Nov 16, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1407037666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 614",
            "city": "BEDFORD",
            "state": "NY",
            "postal_code": "105060614",
            "telephone_number": "914-205-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BROOK FARM ROAD EAST",
            "city": "BEDFORD",
            "state": "NY",
            "postal_code": "105060614",
            "telephone_number": "914-205-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHLEBEN",
        "first_name": "SARA",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2776621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02589857",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie Ciavardini, LCSW
• Carolyn Anne Clark-Tenney, LCSW
• Julianne Connell
• Courtney Plank LCSW PLLC
• Kenedy Degracia, PT, DPT
• Vivian E Falco, PT
• James Fenimore, PHD, LMFT
• Karen L. Fleming.Sherman, RN, CNS
• Matty S. Fruchtman, RPH
• Donna A Furphy

• Licensed Practical Nurse in Bedford, NY
• Providers in Bedford, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.