Sara Anne Wiltshire, LSA-SURGICAL ASSIST

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0136000815 Issued in VA

Practice address

3636 High St
Portsmouth, VA 23707-3236

Phone

(757) 398-2200

NPI assigned

Jun 16, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sara Anne Kunnari Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1447935549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5171 SHARON DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646109",
            "telephone_number": "757-619-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073236",
            "telephone_number": "757-398-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTSHIRE",
        "first_name": "SARA",
        "middle_name": "ANNE",
        "credential": "LSA-SURGICAL ASSIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0136000815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "KUNNARI",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin David Wilson, MD
• Marva Wilson, RN, BSN
• Reese Wilson, DDS
• Renee Maria Wilson, RN
• Taylor Jacob Wilson, PHARMD
• Shawn E Winborne
• Larry L Winder, FNP
• Kendra Winfrey, PHARM D
• Elizabeth Wingen
• Brandee Leigh Winkler, PA-C

• Surgery Physician in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.