Individual provider Active NPI

Fatimah Zahra Sarki, AGPCNP

  • Adult Health Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1396350617
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024179683 Issued in VA
Practice address
11803 Jefferson Ave Ste 140
Newport News, VA 23606-4390
Phone
(757) 594-1803
Fax
(757) 594-1828
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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 0001260561 VA
Adult Health Nurse Practitioner 363LA2200X 0024179683 VA Primary

Addresses

Primary practice location

11803 Jefferson Ave Ste 140
Newport News, VA 23606-4390

Mailing address

11803 Jefferson Ave Ste 140
Newport News, VA 23606-4390
Phone (757) 594-1803

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
I20210318000025 VA Practitioner - Nurse Practitioner 8426465428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

11803 Jefferson Ave
Suite 100
Newport News, VA 23606-4390
Phone (757) 594-1840

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001260561VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Oct 16, 2021 Accepting new patients

Locations

11803 Jefferson Ave
Ste 140
Newport News, VA 23606
Phone (757) 594-1803

11803 Jefferson Ave
Ste 100
Newport News, VA 23606
Phone (757) 594-1840

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1396350617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11803 JEFFERSON AVE STE 140",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064390",
            "telephone_number": "757-594-1803",
            "fax_number": "757-594-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 JEFFERSON AVE STE 140",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064390",
            "telephone_number": "757-594-1803",
            "fax_number": "757-594-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARKI",
        "first_name": "FATIMAH",
        "middle_name": "ZAHRA",
        "credential": "AGPCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001260561",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024179683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.