Active NPI
Sonam Norbu, MS, RN, AG-ACNP
- Acute Care Nurse Practitioner
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- R227564
- Practice address
- 4887 Wheatstone Dr
Fairfax, VA 22032-2341 - Phone
- (937) 474-3570
- NPI assigned
- Apr 19, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 0024174624 | VA | |
| Acute Care Nurse Practitioner | 363LA2100X | R227564 | MD | Primary |
Addresses
Primary practice location
4887 Wheatstone Dr
Fairfax, VA 22032-2341
Mailing address
4887 Wheatstone Dr
Fairfax, VA 22032-2341
Phone (937) 474-3570
Other practice location 1
1850 Town Center Pkwy
Reston, VA 20190-3204
Phone (240) 686-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144674821 | Medicaid | DC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sonam_norbu@optum.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R227564 | MD | MD | Acute Care Nurse Practitioner |
| 0024174624 | VA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Fair Oaks Hospitalist Physicians, PLLC | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Arnot Medical Services PLLC | Past | Accepting new patients |
Locations
7600 Carroll Ave
Takoma Park, MD 20912
Phone (301) 791-7600
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1427326768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1144674821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4887 WHEATSTONE DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220322341",
"telephone_number": "937-474-3570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4887 WHEATSTONE DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220322341",
"telephone_number": "937-474-3570"
}
],
"practiceLocations": [
{
"address_1": "1850 Town Center Pkwy",
"address_purpose": "LOCATION",
"city": "Reston",
"state": "VA",
"postal_code": "201903204",
"country_code": "US",
"telephone_number": "240-686-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORBU",
"first_name": "SONAM",
"name_prefix": "Mrs.",
"credential": "MS, RN, AG-ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-19",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VA",
"license": "0024174624",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MD",
"license": "R227564",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144674821",
"state": "DC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sonam_norbu@optum.com",
"affiliation": "N",
"address_1": "4887 Wheatstone Dr",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "220322341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.