Active NPI
Sarah Villere, AGPCNP-BC
- Adult Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1891048856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 307307
- Practice address
- 295 Flatbush Avenue Ext FL 2
Brooklyn, NY 11201-3001 - Phone
- (469) 160-3486
- NPI assigned
- Oct 16, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 700509 | NY | |
| Registered Nurse | 163W00000X | 1626500 | CO | |
| Nurse Practitioner | 363L00000X | 0991311 | CO | |
| Adult Health Nurse Practitioner | 363LA2200X | 307307 | NY | Primary |
Addresses
Primary practice location
295 Flatbush Avenue Ext FL 2
Brooklyn, NY 11201-3001
Mailing address
42-09 28TH St FL 20
Long Island City, NY 11101-4130
Phone (646) 916-0348
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1626500 | CO | MD | Registered Nurse |
| 700509 | NY | MD | Registered Nurse |
| 0991311 | CO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of New York Office of Payroll Administration | Past | Accepting new patients | |
| City of New York Office of Payroll Administration | Past | Accepting new patients | |
| City of New York Office of Payroll Administration | Past | Accepting new patients |
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.
-
- State or Local Public Health Clinic/Center
- Brooklyn, NY
- NPI 1679501647
-
- Community Health Clinic/Center
- Brooklyn, NY
- NPI 1912953035
-
- State or Local Public Health Clinic/Center
- Brooklyn, NY
- NPI 1982624276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1891048856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42-09 28TH ST FL 20",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014130",
"telephone_number": "646-916-0348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 FLATBUSH AVENUE EXT FL 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112013001",
"telephone_number": "469-160-3486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLERE",
"first_name": "SARAH",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-16",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "700509",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "1626500",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "0991311",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "307307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.