Active NPI
Sarah E Fairbanks, RN
- School Registered Nurse
- Marathon, NY
National Provider Identifier
1639939788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 657338
- Practice address
- 1 Park St
Marathon, NY 13803-7720 - Phone
- (607) 849-3210
- Fax
- (607) 849-0019
- NPI assigned
- Mar 19, 2024
- Last updated
- Mar 19, 2024
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 657338 | NY | Primary |
Addresses
Primary practice location
1 Park St
Marathon, NY 13803-7720
Mailing address
1 Park St
Marathon, NY 13803-7720
Phone (607) 849-3210
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 657338 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1639939788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PARK ST",
"city": "MARATHON",
"state": "NY",
"postal_code": "138037720",
"telephone_number": "607-849-3210",
"fax_number": "607-849-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARK ST",
"city": "MARATHON",
"state": "NY",
"postal_code": "138037720",
"telephone_number": "607-849-3210",
"fax_number": "607-849-0019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIRBANKS",
"first_name": "SARAH",
"middle_name": "E",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-19",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "657338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marathon, NY
- Joseph William Brockway, PT
- Cherish Brookman
- Erica Z. Burkert, FNP
- Kevin M Carr, PA-C
- Melissa Cross
- Family Health Network of Central New York, Inc
- Family Health Network of Central New York, Inc (SBHC- Marathon Jr/Sr High School)
- Family Health Network of Central New York, Inc (SBHC-Marathon Elementary School)
- Nicole Marie Gilbert, FNP
- Kinney Drugs, Inc. #88
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.