Individual provider Active NPI

Stephanie Northern Sadtler, FNP-BC

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1104471309
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
00241718191 Issued in VA
Practice address
6627 West Broad Street
Suite 400
Richmond, VA 23230
Phone
(804) 774-4550
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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 0001225659 VA
Family Nurse Practitioner 363LF0000X 00241718191 VA Primary

Addresses

Primary practice location

6627 West Broad Street
Suite 400
Richmond, VA 23230

Mailing address

6627 West Broad Street
Suite 400
Richmond, VA 23230
Phone (804) 330-4021

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
I20191030000808 VA Practitioner - Nurse Practitioner 7517299209 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001225659VAMDRegistered Nurse
00241718191VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emily a. Robbins, DO, LLC CurrentSince May 3, 2023 Accepting new patients
Veritas Collaborative Virginia, LLC PastSince Dec 6, 2020 Accepting new patients

Locations

95 Medical Park Blvd
Petersburg, VA 23805
Phone (336) 816-2589

5700 Fitzhugh Ave
Richmond, VA 23226
Phone (804) 288-5700

3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012

Interoperability endpoints

  • Direct secure messaging: stephanie.sadtler@338.securemail.mdnavigatorclinical.com

Organizations & group practices 2

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": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1104471309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6627 WEST BROAD STREET",
            "address_2": "SUITE 400",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23230",
            "telephone_number": "804-330-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6627 WEST BROAD STREET",
            "address_2": "SUITE 400",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23230",
            "telephone_number": "804-774-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADTLER",
        "first_name": "STEPHANIE",
        "middle_name": "NORTHERN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001225659",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "00241718191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.