Sara Deatherage, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024177684 Issued in VA

Practice address

236 Clearfield Ave Ste 215
Virginia Beach, VA 23462-1893

Phone

(757) 853-1380

NPI assigned

Sep 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sara.deatherage@49412312072196.direct.elationemr.com

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.

• Vpa PC

  • Family Medicine Physician
  • Virginia Beach, VA
  • NPI 1942531769
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD
• First Care Collaborative PLLC

  • Family Medicine Physician
  • Chesapeake, VA
  • NPI 1770190191
  NPD (past)
• Oceana Urgent Care and Family Practice

  • Urgent Care Clinic/Center
  • Virginia Beach, VA
  • NPI 1477549558
  NPD (past)

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1104374693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295 DEPT 93394",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "248-266-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 CLEARFIELD AVE STE 215",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621893",
            "telephone_number": "757-853-1380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 General Booth Blvd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234514861",
            "country_code": "US",
            "telephone_number": "757-425-3610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEATHERAGE",
        "first_name": "SARA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "819106",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra A Deane, MD
• Dana Crosby Deangelo, CRNA
• Ashton Carolyne Land Dear-Huffman, PA-C
• Jeffrey Dear
• Kendall Marie Deas
• Debb Cyberpsychological Services
• Scott Debb, LPC
• Derek Lee Deboer, MD
• Deborah Consulting Company LLC
• Kali Deborde

• Family Nurse Practitioner in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.

Verify at the official NPI Registry.