Individual provider Active NPI

Sarah Paige Kenworthy, PA

  • Medical Physician Assistant
  • Falls Church, VA
National Provider Identifier
1629707351
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110008376 Issued in VA
Practice address
6319 Castle PL Ste 2a
Falls Church, VA 22044-1907
Phone
(703) 373-7338
NPI assigned
Jun 8, 2022
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110008376 VA Primary
Community/Behavioral Health Agency 251S00000X 0110008376 VA

Addresses

Primary practice location

6319 Castle PL Ste 2a
Falls Church, VA 22044-1907

Mailing address

2139 Toronto St
Falls Church, VA 22043-1934
Phone (703) 994-9528

Other practice location 1

239 Garrisonville Rd
Stafford, VA 22554-1554
Phone (703) 879-1542

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110008376VAMDCommunity/Behavioral Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1629707351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 TORONTO ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220431934",
            "telephone_number": "703-994-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 CASTLE PL STE 2A",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220441907",
            "telephone_number": "703-373-7338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Garrisonville Rd",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225541554",
            "country_code": "US",
            "telephone_number": "703-879-1542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENWORTHY",
        "first_name": "SARAH",
        "middle_name": "PAIGE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110008376",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0110008376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.