Sarah Anderson
Individual provider Active NPI Family Nurse Practitioner · Portsmouth, VA
NPI 1639620057 · NPPES record last updated Mar 2, 2017
Key facts
- NPI
- 1639620057
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024174140 (VA)
- 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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: 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
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryview Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024174140 | VA | Yes |
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
- Sarah Martin
Other providers in Portsmouth, VA
- Claude Damian Anderson
- Debra Anderson
- Denise Anderson Anderson
- Giselle Tamara Anderson
- Mary K Anderson
- Andrea'S Caring Corner, LLC
- Hannah Andress
- Martin J Anerino
- James Angeles
- Noel Angelito
All providers in Portsmouth, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.