Individual provider Active NPI

Sarah Elaine Clark

  • Certified Registered Nurse Anesthetist
  • Mount Kisco, NY
National Provider Identifier
1841789567
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
605364 Issued in NY
Practice address
400 E Main St
Mount Kisco, NY 10549
Phone
(914) 666-1200
NPI assigned
May 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 605364 NY
Certified Registered Nurse Anesthetist 367500000X 605364 NY Primary

Addresses

Primary practice location

400 E Main St
Mount Kisco, NY 10549

Mailing address

1465 E Putnam Ave Apt 610
Old Greenwich, CT 06870-1337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190530000803 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840533105 Reassigns benefits to 3 organizations
I20190628002700 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840533105 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
605364NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Anesthesiology, PC CurrentSince Jul 15, 2023 Accepting new patients
Woodland Anesthesia Associates PC CurrentSince Aug 12, 2024 Accepting new patients
Anesthesiologists of Middletown, P.C. CurrentSince Jan 3, 2023 Accepting new patients

Locations

701 Cottage Grove Rd
Ste F230
Bloomfield, CT 06002
Phone (860) 243-5569

73 Sand Pit Rd
Danbury, CT 06810
Phone (203) 743-2400

40 Old Ridgebury Rd
Danbury, CT 06810
Phone (203) 205-2840

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

145 S Main St
Middletown, CT 06457
Phone (860) 346-5889

410 Saybrook Rd
Middletown, CT 06457
Phone (615) 686-2262

901 Ethan Allen Hwy
Ridgefield, CT 06877
Phone (203) 383-9967

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

60 Goldens Bridge Rd
Katonah, NY 10536
Phone (914) 232-1919

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000

27005 76th Ave
North New Hyde Pk, NY 11040

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 3

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": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1841789567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 E PUTNAM AVE APT 610",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "068701337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "914-666-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SARAH ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "605364",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "605364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.