Individual provider Active NPI

Sarah Sercombe, NP

  • Pediatric Nurse Practitioner
  • Poughkeepsie, NY
National Provider Identifier
1992244768
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP9325492 Issued in FL
Practice address
207 Washington St
Suite 103
Poughkeepsie, NY 12601
Phone
(845) 249-2510
Fax
(845) 249-2505
NPI assigned
Feb 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP9325492 FL Primary

Addresses

Primary practice location

207 Washington St
Suite 103
Poughkeepsie, NY 12601

Mailing address

207 Washington St
Suite 103
Poughkeepsie, NY 12601
Phone (845) 249-2510

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9325492FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cannizzaro Integrative Pediatric Center Past Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson Past Accepting new patients
Bambini Pediatrics PastSince Apr 6, 2023 Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson, LLC PastSince Dec 3, 2023 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1992244768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 WASHINGTON ST",
            "address_2": "SUITE 103",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12601",
            "telephone_number": "845-249-2510",
            "fax_number": "845-249-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 WASHINGTON ST",
            "address_2": "SUITE 103",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12601",
            "telephone_number": "845-249-2510",
            "fax_number": "845-249-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERCOMBE",
        "first_name": "SARAH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9325492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.