Active NPI
Sandra L Mertz, PA-C
- Physician Assistant
- Washington, DC
National Provider Identifier
1104135698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA030648
- Practice address
- 2141 K St NW Ste 501
Washington, DC 20037-1810 - Phone
- (202) 994-6827
- Fax
- (202) 973-1572
- NPI assigned
- Sep 30, 2010
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA030648 | DC | Primary |
Addresses
Primary practice location
2141 K St NW Ste 501
Washington, DC 20037-1810
Mailing address
2528 S Arlington Mill Dr Apt E
Arlington, VA 22206-4030
Phone (703) 379-8562
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA030648 | DC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285804800000",
"number": "1104135698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2528 S ARLINGTON MILL DR APT E",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222064030",
"telephone_number": "703-379-8562",
"fax_number": "703-379-2445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2141 K ST NW STE 501",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200371810",
"telephone_number": "202-994-6827",
"fax_number": "202-973-1572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERTZ",
"first_name": "SANDRA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-30",
"last_updated": "2010-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DC",
"license": "PA030648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.