Active NPI
Sainabou Jallow, NP
- Family Nurse Practitioner
- Fredericksburg, VA
National Provider Identifier
1013510619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024180411
- Practice address
- 1511 Jefferson Davis Hwy
Fredericksburg, VA 22401-4631 - Phone
- (540) 899-6874
- NPI assigned
- Nov 17, 2020
- Last updated
- Apr 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024180411 | VA | Primary |
Addresses
Primary practice location
1511 Jefferson Davis Hwy
Fredericksburg, VA 22401-4631
Mailing address
201 Breakers Edge CT
Stafford, VA 22554-4509
Phone (703) 304-9235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1013510619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 BREAKERS EDGE CT",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225544509",
"telephone_number": "703-304-9235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 JEFFERSON DAVIS HWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014631",
"telephone_number": "540-899-6874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JALLOW",
"first_name": "SAINABOU",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024180411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
- Sydney Jackson
- Toya Jackson, H.L.P.C
- John Patrick Jacobs, CPO
- Eileen Roberts Jacobson, M.S./CCC-SLP
- Farrukh M Jafri, M.D.
- Muhammad Jamal, M.D.
- James River Home Health Care, LLC (James River Home Health and Hospice)
- James River Home Health Care, LLC (James River Home Health and Hospice)
- Twana Michele James
- Jan-Eric Esway, MD PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.