Individual provider Active NPI

Sara Elisabeth Tierce-Hazard, AGPCNP-BC, PHMNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Freeport, ME
National Provider Identifier
1841878113
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP251367 Issued in ME
Practice address
174 S Freeport Rd Ste 2a
Freeport, ME 04032-6145
Phone
(207) 977-4700
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP023260 PA
Gerontology Nurse Practitioner 363LG0600X SP023260 PA
Primary Care Nurse Practitioner 363LP2300X SP023260 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP251367 ME Primary

Addresses

Primary practice location

174 S Freeport Rd Ste 2a
Freeport, ME 04032-6145

Mailing address

224 Tuttle Rd
Cumberland, ME 04021-4116
Phone (703) 772-4997

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
Master of Science

State licenses

LicenseStateTypeSpecialty
SP023260PAMDGerontology Nurse Practitioner
CNP251367MEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Roots Nutrition Counseling, LLC Past Accepting new patients

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1841878113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 TUTTLE RD",
            "city": "CUMBERLAND",
            "state": "ME",
            "postal_code": "040214116",
            "telephone_number": "703-772-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 S FREEPORT RD STE 2A",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326145",
            "telephone_number": "207-977-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERCE-HAZARD",
        "first_name": "SARA",
        "middle_name": "ELISABETH",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC, PHMNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP023260",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP023260",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP023260",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP251367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.