SARAH BONASSO PNP NPI 1780167387

NPI Information

  • NPI: 1780167387
  • Provider Name: SARAH BONASSO, PNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 101 TYGART MALL LOOP STE 102A
    FAIRMONT, WV
    ZIP 26554
  • Phone: (304) 599-8000

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NPI Details

Sarah Bonasso, PNP is a pediatrics nurse practitioner in Fairmont, WV. Sarah Bonasso, PNP NPI is 1780167387. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 TYGART MALL LOOP STE 102A
FAIRMONT, WV
ZIP 26554-972
Phone: (304) 599-8000
Fax: (304) 599-8003

The NPI 1780167387 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/10/2018 and was last updated on 4/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics85838WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
185838OTHERWEST VIRGINIAWV BOARD OF EXAMINERS FOR REGISTERED PROFESSIONAL NURSES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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