Individual provider Active NPI

Sara Lanz, RN

  • Infusion Therapy Registered Nurse
  • Woodbridge, VA
National Provider Identifier
1215644646
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
License
0001145395 Issued in VA
Practice address
15349 Wits End Dr
Woodbridge, VA 22193-5890
Phone
(703) 232-5672
Fax
(703) 232-1066
NPI assigned
Nov 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered Nurse 163WI0500X 0001145395 VA Primary

Addresses

Primary practice location

15349 Wits End Dr
Woodbridge, VA 22193-5890

Mailing address

4393 Kevin Walker Dr # 176
Montclair, VA 22025-1636
Phone (703) 232-5672

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001145395VAMDInfusion Therapy Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1215644646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4393 KEVIN WALKER DR # 176",
            "city": "MONTCLAIR",
            "state": "VA",
            "postal_code": "220251636",
            "telephone_number": "703-232-5672",
            "fax_number": "703-232-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15349 WITS END DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935890",
            "telephone_number": "703-232-5672",
            "fax_number": "703-232-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZ",
        "first_name": "SARA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "VA",
            "license": "0001145395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.