Sandra Wade-Johnson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

598861 Issued in NY

Practice address

787 King St
Rye Brook, NY 10573-1225

Phone

(914) 937-5800

NPI assigned

Mar 11, 2021

Last updated

Aug 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1558946558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 KING ST",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105731225",
            "telephone_number": "914-937-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 KING ST",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105731225",
            "telephone_number": "914-937-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE-JOHNSON",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "598861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pasquale Patrick Vascimini, DDS
• Elaine Marion Vernetti, M.D.
• Mary G. Versfelt, M.D.
• Eleni Vinieris, D.M.D.
• Catherine Vnenchak
• Jiyi Wang, M.D.
• Steven Jay Weinberg, DPM
• Sarah M Weinshel, MD
• Tina Weisman, OT/L
• Rachel S Weiss

• Registered Nurse in Rye Brook, NY
• Providers in Rye Brook, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.