{
"Npi": {
"NPI": "1720661051",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "JANDREAU",
"FirstName": "SARAE",
"MiddleName": "ALISON SAGER",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "DO",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SAGER",
"OtherFirstName": "SARAE",
"OtherMiddleName": null,
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "DO",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "92 CAMPUS DR STE A",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SCARBOROUGH",
"MailingAddressStateName": "ME",
"MailingAddressPostalCode": "04074-7229",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "207-885-0011",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "92 CAMPUS DR STE A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SCARBOROUGH",
"PracticeLocationAddressStateName": "ME",
"PracticeLocationAddressPostalCode": "04074-7229",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "207-885-0011",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/04/2021",
"LastUpdateDate": "08/21/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2081S0010X",
"TaxonomyName": "Sports Medicine (Physical Medicine & Rehabilitation) Physician",
"LicenseNumber": "DO4053",
"LicenseNumberStateCode": "ME",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}