Individual provider Active NPI

Sandra Rose Tranvaag, FNP

  • Nurse Practitioner
  • Norwich, NY
National Provider Identifier
1881829505
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
339698 Issued in NY
Practice address
179 N Broad St
Norwich, NY 13815-1019
Phone
(607) 561-2200
Fax
(607) 337-4689
NPI assigned
May 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 339698 NY Primary

Addresses

Primary practice location

179 N Broad St
Norwich, NY 13815-1019

Mailing address

179 N Broad St
Norwich, NY 13815-1019
Phone (607) 561-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150917001989 NY Practitioner - Nurse Practitioner 1658688072 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
339698NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince May 22, 2017 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince May 22, 2017 Accepting new patients
Chenango Memorial Hospital, Inc. Nurse Practitioner Past Accepting new patients

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

125 Main St
Oneonta, NY 13820
Phone (607) 433-1790

1 Foxcare Dr
Ste 211
Oneonta, NY 13820
Phone (607) 431-5151

Interoperability endpoints

  • Direct secure messaging: stranvaag316113@bassett.direct-ci.net

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": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1881829505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 N BROAD ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151019",
            "telephone_number": "607-561-2200",
            "fax_number": "607-337-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 N BROAD ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151019",
            "telephone_number": "607-561-2200",
            "fax_number": "607-337-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRANVAAG",
        "first_name": "SANDRA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "339698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, NY

Sources for this page

Verify at the official NPI Registry.