Active NPI
Sarah Anderson
- Family Nurse Practitioner
- Portsmouth, VA
National Provider Identifier
1639620057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024174140
- Practice address
- 3640 High St
Suite 2-F
Portsmouth, VA 23707-3213 - Phone
- (757) 483-3030
- Fax
- (757) 484-7239
- NPI assigned
- Oct 20, 2016
- Last updated
- Mar 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024174140 | VA | Primary |
Addresses
Primary practice location
3640 High St
Suite 2-F
Portsmouth, VA 23707-3213
Mailing address
3640 High St
Suite 2-F
Portsmouth, VA 23707-3213
Phone (757) 483-3030
Other names 1
- Sarah Martin
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2022 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024174140 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryview Hospital | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Orthopaedic Surgery Physician
- Suffolk, VA
- NPI 1831426204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1639620057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3640 HIGH ST",
"address_2": "SUITE 2-F",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237073213",
"telephone_number": "757-483-3030",
"fax_number": "757-484-7239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 HIGH ST",
"address_2": "SUITE 2-F",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237073213",
"telephone_number": "757-483-3030",
"fax_number": "757-484-7239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-20",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024174140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "MARTIN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.