Individual provider Active NPI

Sonia E Sandhaus, CRNP

  • Nurse Practitioner
  • Tobyhanna, PA
National Provider Identifier
1902227960
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP007040B Issued in PA
Practice address
100 Community Dr
Ste 102
Tobyhanna, PA 18466-8985
Phone
(570) 839-8754
Fax
(570) 839-1079
NPI assigned
Dec 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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 SP007040B PA Primary

Addresses

Primary practice location

100 Community Dr
Ste 102
Tobyhanna, PA 18466-8985

Mailing address

206 E Brown St
East Stroudsburg, PA 18301-3006
Phone (570) 839-8754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20140403000372 PA Practitioner - Nurse Practitioner 0941431027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

532 Main St
Suite 1
Moosic, PA 18507-1001
Phone (570) 471-3569

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP007040BPAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Centers Inc CurrentSince Feb 1, 2014 Accepting new patients
Geisinger Clinic CurrentSince Nov 1, 2014 Accepting new patients
Geisinger Clinic Nurse Practitioner Current Accepting new patients
Geisinger Clinic CurrentSince Nov 1, 2014 Accepting new patients
Family Care Centers Inc. Current Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

407 3rd Ave
Jessup, PA 18434
Phone (570) 383-7922

532 Main St
Moosic, PA 18507
Phone (570) 457-6540

100 Community Dr
Ste 102
Tobyhanna, PA 18466
Phone (570) 839-8754

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1902227960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013006",
            "telephone_number": "570-839-8754",
            "fax_number": "570-839-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMUNITY DR",
            "address_2": "STE 102",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184668985",
            "telephone_number": "570-839-8754",
            "fax_number": "570-839-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHAUS",
        "first_name": "SONIA",
        "middle_name": "E",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP007040B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tobyhanna, PA

Sources for this page

Verify at the official NPI Registry.