Individual provider Active NPI

Lisa Marie Sauer, AGPCNP

  • Family Nurse Practitioner
  • Callicoon, NY
National Provider Identifier
1619336674
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340740-1 Issued in NY
Practice address
9741 State Route 97
Callicoon, NY 12723-5447
Phone
(845) 887-6112
NPI assigned
Feb 18, 2016
Last updated
Dec 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F340740-1 NY Primary
Primary Care Nurse Practitioner 363LP2300X 307630 NY

Addresses

Primary practice location

9741 State Route 97
Callicoon, NY 12723-5447

Mailing address

79 County Road 114
Cochecton, NY 12726-5216
Phone (845) 807-2297

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F340740-1NYMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1619336674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 COUNTY ROAD 114",
            "city": "COCHECTON",
            "state": "NY",
            "postal_code": "127265216",
            "telephone_number": "845-807-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9741 STATE ROUTE 97",
            "city": "CALLICOON",
            "state": "NY",
            "postal_code": "127235447",
            "telephone_number": "845-887-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "AGPCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340740-1",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "307630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Callicoon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.