Active NPI
Sabrina Destime
- Family Nurse Practitioner
- Amityville, NY
National Provider Identifier
1851861074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 356195
- Practice address
- 90 Miller Ave
Amityville, NY 11701-1306 - Phone
- (631) 264-9082
- NPI assigned
- Nov 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 356195 | NY | Primary |
| Registered Nurse | 163W00000X | 760224 | NY |
Addresses
Primary practice location
90 Miller Ave
Amityville, NY 11701-1306
Mailing address
90 Miller Ave
Amityville, NY 11701-1306
Phone (631) 264-9082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTHER | Other | OTHER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
42 S 10TH St
Apt 3C1
Brooklyn, NY 11249-7080
831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 760224 | NY | MD | Registered Nurse |
| 356195 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1851861074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 MILLER AVE",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117011306",
"telephone_number": "631-264-9082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 MILLER AVE",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117011306",
"telephone_number": "631-264-9082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESTIME",
"first_name": "SABRINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-30",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "356195",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "760224",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "OTHER",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amityville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.