Individual provider Active NPI

Sarah Elizabeth Porco, RN (COMPACT LICENSE)

  • Home Health Registered Nurse
  • Ashburn, VA
National Provider Identifier
1376380337
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
0001311230 Issued in VA
Practice address
21035 Sycolin Rd Ste 55
Ashburn, VA 20147-4311
Phone
(703) 496-4616
Fax
(703) 496-4615
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered Nurse 163WI0500X 0001311230 VA
Pediatric Registered Nurse 163WP0200X 0001311230 VA
Home Health Registered Nurse 163WH0200X 0001311230 VA Primary

Addresses

Primary practice location

21035 Sycolin Rd Ste 55
Ashburn, VA 20147-4311

Mailing address

21035 Sycolin Rd Ste 55
Ashburn, VA 20147-4311
Phone (703) 496-4616

Other practice location 1

12 Lotus Ave
Chester, WV 26034-1552
Phone (866) 520-1989

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
0001311230VAMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Virginia Care WV, LLC PastSince Jan 21, 2024 Accepting new patients

Organizations & group practices 1

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": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1376380337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21035 SYCOLIN RD STE 55",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474311",
            "telephone_number": "703-496-4616",
            "fax_number": "703-496-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21035 SYCOLIN RD STE 55",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474311",
            "telephone_number": "703-496-4616",
            "fax_number": "703-496-4615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Lotus Ave",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "WV",
            "postal_code": "260341552",
            "country_code": "US",
            "telephone_number": "866-520-1989",
            "fax_number": "703-496-4615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORCO",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "RN (COMPACT LICENSE)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "VA",
            "license": "0001311230",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "VA",
            "license": "0001311230",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "VA",
            "license": "0001311230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.