Active NPI
Sara Sanson, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Summersville, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN75972NP
- Practice address
- 415 Main St
Summersville, WV 26651-1343 - Phone
- (304) 226-5725
- Fax
- (304) 226-3274
- NPI assigned
- Feb 13, 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN75972NP | WV | Primary |
Addresses
Primary practice location
415 Main St
Summersville, WV 26651-1343
Mailing address
10003 Webster Rd
Camden on Gauley, WV 26208-7713
Phone (304) 226-5725
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2014023940 | Other | WV | CERTIFICATION NUMBER-ANCC |
| APRN75972NP | Other | WV | APRN LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN75972NP | WV | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
Locations
101 Florence St
Ansted, WV 25812
Phone (304) 658-5100
10003 Webster Rd
Camden on Gly, WV 26208
Phone (304) 266-5725
56 Park St
Cowen, WV 26206
Phone (304) 226-5275
16414 Webster Rd
Craigsville, WV 26205
Phone (304) 742-3004
46 Red Oak Dr
Craigsville, WV 26205
Phone (304) 742-5737
100 School St
Craigsville, WV 26205
Phone (304) 742-1061
110 Panther Creek Elementary Rd
Nettie, WV 26681
Phone (304) 742-1061
16 W Main St
Richwood, WV 26261
Phone (304) 846-0207
190 Riverside Dr
Rm 2109
Richwood, WV 26261
Phone (304) 846-2588
190 Riverside Dr
Richwood, WV 26261
Phone (304) 846-2588
71 Avenue A
Richwood, WV 26261
Phone (304) 846-2608
415 Main St
Summersville, WV 26651
Phone (304) 872-1663
70 Grade School Ln
Summersville, WV 26651
Phone 3042265725118
1 Highlander Dr
Upperglade, WV 26266
Phone (304) 226-3993
300 Minuteman Dr
Weston, WV 26452
Phone (304) 997-8701
Organizations & group practices 18
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.
-
- Federally Qualified Health Center (FQHC)
- Richwood, WV
- NPI 1245938513
-
- Federally Qualified Health Center (FQHC)
- Craigsville, WV
- NPI 1427585157
-
- Federally Qualified Health Center (FQHC)
- Summersville, WV
- NPI 1508372228
-
- Federally Qualified Health Center (FQHC)
- Summersville, WV
- NPI 1558340414
-
- Federally Qualified Health Center (FQHC)
- Richwood, WV
- NPI 1700312618
-
- Federally Qualified Health Center (FQHC)
- Ansted, WV
- NPI 1801493499
-
- Federally Qualified Health Center (FQHC)
- Cowen, WV
- NPI 1639418361
-
- Federally Qualified Health Center (FQHC)
- Craigsville, WV
- NPI 1942013487
-
- Federally Qualified Health Center (FQHC)
- Nettie, WV
- NPI 1174065916
-
- Federally Qualified Health Center (FQHC)
- Craigsville, WV
- NPI 1215394648
-
- Federally Qualified Health Center (FQHC)
- Summersville, WV
- NPI 1558174086
-
- Federally Qualified Health Center (FQHC)
- Camden on Gauley, WV
- NPI 1598749244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1437540374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10003 WEBSTER RD",
"city": "CAMDEN ON GAULEY",
"state": "WV",
"postal_code": "262087713",
"telephone_number": "304-226-5725",
"fax_number": "304-226-3274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 MAIN ST",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266511343",
"telephone_number": "304-226-5725",
"fax_number": "304-226-3274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANSON",
"first_name": "SARA",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-13",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WV",
"license": "APRN75972NP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATION NUMBER-ANCC",
"identifier": "2014023940",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN LICENSE NUMBER",
"identifier": "APRN75972NP",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summersville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.