Individual provider Active NPI

Stephanie Sanders, FNP-BC

  • Family Nurse Practitioner
  • Wappingers Falls, NY
National Provider Identifier
1619602125
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349812 Issued in NY
Practice address
41 Castle Point Rd
Wappingers Falls, NY 12590-7004
Phone
(845) 831-2000
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 349812 NY Primary

Addresses

Primary practice location

41 Castle Point Rd
Wappingers Falls, NY 12590-7004

Mailing address

85 Ruth CT
Middletown, NY 10940-5329
Phone (845) 764-6765

Other practice location 1

488 Freedom Plains Rd
Poughkeepsie, NY 12603-2689
Phone (845) 452-5151

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
349812NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montrose Vamc CurrentSince Oct 1, 2023 Accepting new patients

Locations

41 Castle Point Rd
Wappingers Falls, NY 12590
Phone 8458312000 ext. 4098

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.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1619602125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 RUTH CT",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405329",
            "telephone_number": "845-764-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CASTLE POINT RD",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125907004",
            "telephone_number": "845-831-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "488 Freedom Plains Rd",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126032689",
            "country_code": "US",
            "telephone_number": "845-452-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "STEPHANIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.