Individual provider Active NPI

Phyllis Jean Sanzone, R.N.

  • School Registered Nurse
  • Rome, NY
National Provider Identifier
1861761686
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
194725-1 Issued in NY
Practice address
758 W. Liberty St
Rome, NY 13440-3942
Phone
(315) 334-5194
Fax
(315) 334-7352
NPI assigned
Dec 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 194725-1 NY Primary

Addresses

Primary practice location

758 W. Liberty St
Rome, NY 13440-3942

Mailing address

758 W. Liberty Street
Rome, NY 13440
Phone (315) 334-5194

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

LicenseStateTypeSpecialty
194725-1NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1861761686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 W. LIBERTY STREET",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-334-5194",
            "fax_number": "315-334-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 W. LIBERTY ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134403942",
            "telephone_number": "315-334-5194",
            "fax_number": "315-334-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANZONE",
        "first_name": "PHYLLIS",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "194725-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.