Healthcare Provider Details

I. General information

NPI: 1669289047
Provider Name (Legal Business Name): SARAH STRACCO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2024
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 NORTHAMPTON ST STE A1
EASTHAMPTON MA
01027-1180
US

IV. Provider business mailing address

PO BOX 93
LEEDS MA
01053-0093
US

V. Phone/Fax

Practice location:
  • Phone: 413-200-0572
  • Fax: 859-955-4943
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2290564
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number2290564
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number101.0137620
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: