Individual provider Active NPI

Sarah Jane Hervey, NP

  • Family Nurse Practitioner
  • Oak Harbor, WA
National Provider Identifier
1063922086
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0001215064 Issued in VA
Practice address
Naval Health Clinic Oak Harbor 3475 N Saratoga Street
Oak Harbor, WA 98278-4712
Phone
(360) 257-9500
Fax
(360) 257-9532
NPI assigned
Oct 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001215064 VA
Primary Care Nurse Practitioner 363LP2300X 0001215064 VA
Family Nurse Practitioner 363LF0000X 0001215064 VA Primary

Addresses

Primary practice location

Naval Health Clinic Oak Harbor 3475 N Saratoga Street
Oak Harbor, WA 98278-4712

Mailing address

10203 Greenfield St
Kensington, MD 20895-4129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231218001338 VA Order and Referring Only - Nurse Practitioner 7416311899

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001215064VAMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1063922086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10203 GREENFIELD ST",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208954129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HEALTH CLINIC OAK HARBOR 3475 N SARATOGA STREET",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982784712",
            "telephone_number": "360-257-9500",
            "fax_number": "360-257-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERVEY",
        "first_name": "SARAH",
        "middle_name": "JANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001215064",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0001215064",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001215064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

Verify at the official NPI Registry.