Sarah Southard, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0024078793 Issued in VA

Practice address

102 Highland Ave SE
Roanoke, VA 24013-2254

Phone

(540) 985-9835

NPI assigned

Feb 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: ssouthard21305@direct.carilionclinic.org

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1417929704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PAR DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241536811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HIGHLAND AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240132254",
            "telephone_number": "540-985-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHARD",
        "first_name": "SARAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001-078793",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024078793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007781105",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Roanoke OB-GYN PC
• Catherine Blair South, PT, DPT
• David Southall, LPC
• Tara Southall, BCABA
• Molly Amelia Southard, RBT
• Southeastern Optical, Inc.
• Southern Home Care Services, Inc. (ResCare Home Care)
• Southern Home Care Services, Inc.
• Southern State Electric & Plumbing (Southern Trust Home Service)
• Southerncare, Inc. (Gentiva II)

• Pediatric Nurse Practitioner in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Pediatric Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.