Individual provider Active NPI

Sarah Wilson Evans, D.C.

  • Chiropractor
  • Alexandria, VA
National Provider Identifier
1023409059
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557642 Issued in VA
Practice address
707 Oronoco St.
Alexandria, VA 22314
Phone
(703) 239-3407
NPI assigned
Feb 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 9297663-1202 UT
Chiropractor 111N00000X 0104557642 VA Primary

Addresses

Primary practice location

707 Oronoco St.
Alexandria, VA 22314

Mailing address

500 N. Washington St.
The Cottage
Alexandria, VA 22314
Phone (703) 239-3407

Other practice location 1

1178 E Draper Pkwy
Draper, UT 84020-9095
Phone (801) 553-9691

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104557642VAMDChiropractor
9297663-1202UTMDSports Physician Chiropractor
5652ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Chiropractic, LLC Chiropractor CurrentSince Feb 19, 2023 Accepting new patients

Locations

500 N Washington St
Alexandria, VA 22314
Phone (571) 245-6109

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1023409059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N. WASHINGTON ST.",
            "address_2": "THE COTTAGE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22314",
            "telephone_number": "703-239-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 ORONOCO ST.",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22314",
            "telephone_number": "703-239-3407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1178 E Draper Pkwy",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840209095",
            "country_code": "US",
            "telephone_number": "801-553-9691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SARAH",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2021-09-13",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "UT",
            "license": "9297663-1202",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.