Individual provider Active NPI

Sarah Elizabeth Munn

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1053879866
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024187517 Issued in VA
Practice address
12872 Harbor Dr
Woodbridge, VA 22192-2921
Phone
(571) 210-6465
Fax
(571) 376-6785
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R0105952 OK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024187517 VA Primary

Addresses

Primary practice location

12872 Harbor Dr
Woodbridge, VA 22192-2921

Mailing address

12872 Harbor Dr
Woodbridge, VA 22192-2921
Phone (571) 210-6465

Other practice location 1

1602 Village Market Blvd SE Ste 250
Leesburg, VA 20175-4722
Phone (667) 668-2566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230725002944 VA Practitioner - Nurse Practitioner 0941661888 Reassigns benefits to 1 organization
I20230727003354 DC Practitioner - Nurse Practitioner 0941661888 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0105952OKMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Associates of Maryland LLC CurrentSince Aug 1, 2023 Accepting new patients
Resiliensea Health Solutions, PLLC Psychiatric/Mental Health Current Accepting new patients
Neta, Inc. CurrentSince Jan 21, 2020 Accepting new patients

Locations

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (240) 531-2799

2331 York Rd
Ste 100
Timonium, MD 21093

1954 Greenspring Dr
Ste 530
Timonium, MD 21093
Phone (240) 441-9858

801 N Quincy St
Ste 601
Arlington, VA 22203
Phone (667) 220-8067

630 Peter Jefferson Pkwy
Ste 130
Charlottesville, VA 22911
Phone (434) 201-2155

2960 Sleepy Hollow Rd
Falls Church, VA 22044
Phone (703) 304-7764

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

1602 Village Market Blvd SE
Ste 250
Leesburg, VA 20175
Phone (667) 222-0381

8140 Ashton Ave
Ste 112
Manassas, VA 20109
Phone (703) 393-6366

7702 E Parham Rd
Ste 102
Richmond, VA 23294
Phone (804) 346-1612

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

158 Front Royal Pike
Ste 206
Winchester, VA 22602
Phone (540) 304-6533

12872 Harbor Dr
Woodbridge, VA 22192
Phone (540) 440-5938

Interoperability endpoints

  • Direct secure messaging: bloomhealthcenters.sarahmunn@131200.advancedmd-direct.com

Organizations & group practices 3

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": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1053879866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12872 HARBOR DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922921",
            "telephone_number": "571-210-6465",
            "fax_number": "571-376-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12872 HARBOR DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922921",
            "telephone_number": "571-210-6465",
            "fax_number": "571-376-6785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 Village Market Blvd SE Ste 250",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201754722",
            "country_code": "US",
            "telephone_number": "667-668-2566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNN",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0105952",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024187517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.