Sandra Lee Pensieri, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC-002479-L Issued in PA

Practice address

1155 E Moutain Blvd
Wilkes Barre, PA 18711-7906

Phone

(570) 808-3362

Fax

(570) 808-5114

NPI assigned

Jun 25, 2006

Last updated

Jun 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wyoming Valley Foot Associates P C

  • Foot Surgery Podiatrist
  • Pittston, PA
  • NPI 1538646591
  NPD (past)
• Wyoming Valley Foot Associates P C

  • Foot & Ankle Surgery Podiatrist
  • Kingston, PA
  • NPI 1770510307
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1891721312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 S RIVER ST",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051191",
            "telephone_number": "570-829-4711",
            "fax_number": "570-283-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 E MOUTAIN BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187117906",
            "telephone_number": "570-808-3362",
            "fax_number": "570-808-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENSIERI",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC-002479-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0956631",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spensieri56583@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1155 E Moutain Blvd",
            "city": "Wilkes Barre",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187117906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pennsylvania CVS Pharmacy, L.L.C. (Cvs Pharmacy #11506)
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy#01614)
• Pennsylvania Home Care, Inc
• Pennsylvania Hospitalist Group, LLC
• Pennsylvania Physician Services, LLC
• Dwaraki Bai Penugonda, M.D.
• Karthik Penumetsa, M.D
• Yvette Perdomo, LPC
• Performing Arts Training Academy, LLC (PATA Rehabilitation Specialists)
• Jeffrey David Perluke, MD

• Podiatrist in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.