Individual provider Active NPI

Sabrina Neill

  • Family Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1619345733
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R244743 Issued in MD
Practice address
4175 N Hanson CT Ste 209
Bowie, MD 20716-3184
Phone
(301) 352-4007
Fax
(410) 266-1639
NPI assigned
Sep 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5013552 NC
Family Nurse Practitioner 363LF0000X 0024173212 VA
Family Nurse Practitioner 363LF0000X RN1013380 DC
Family Nurse Practitioner 363LF0000X R244743 MD Primary

Addresses

Primary practice location

4175 N Hanson CT Ste 209
Bowie, MD 20716-3184

Mailing address

2000 Medical Pkwy Ste 409
Annapolis, MD 21401-3746
Phone (443) 377-3095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5013552NCMDFamily Nurse Practitioner
0024173212VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Nov 15, 2021 Accepting new patients
Washington Hospital Center Corp CurrentSince Jul 22, 2016 Accepting new patients
Inova Health Care Services CurrentSince Nov 15, 2021 Accepting new patients
Washington Hospital Center Corp CurrentSince Jul 22, 2016 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 30, 2023 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 30, 2023 Accepting new patients

Locations

106 Irving St NW
Ste 4400
Washington, DC 20010
Phone (202) 877-2303

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

4175 N Hanson Ct
Ste 209
Bowie, MD 20716
Phone (301) 352-4007

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

4700 King St
Ste 150
Alexandria, VA 22302
Phone (571) 665-6591

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

Interoperability endpoints

  • Direct secure messaging: sneill153551@direct.aahs.org
  • Direct secure messaging: sabrina.neill.1@30520.direct.athenahealth.com

Organizations & group practices 7

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": "1441411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1619345733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 409",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013746",
            "telephone_number": "443-377-3095",
            "fax_number": "443-481-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 N HANSON CT STE 209",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163184",
            "telephone_number": "301-352-4007",
            "fax_number": "410-266-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILL",
        "first_name": "SABRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-05",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013552",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173212",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1013380",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R244743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.