Individual provider Active NPI

Sarah Elyse Stolle

  • Behavior Analyst
  • Virginia Beach, VA
National Provider Identifier
1659730208
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133000700 Issued in VA
Practice address
700 Dwyer Rd
Virginia Beach, VA 23454-6921
Phone
(757) 615-3003
Fax
(757) 243-1262
NPI assigned
Feb 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133000700 VA Primary

Addresses

Primary practice location

700 Dwyer Rd
Virginia Beach, VA 23454-6921

Mailing address

700 Dwyer Rd
Virginia Beach, VA 23454-6921
Phone (757) 615-3003

Other practice location 1

629 Phoenix Dr
Virginia Beach, VA 23452-7392
Phone (757) 837-0761

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

State licenses

LicenseStateTypeSpecialty
0133000700VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Emg Consulting LLC Behavior Analyst PastSince Apr 24, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1659730208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 DWYER RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234546921",
            "telephone_number": "757-615-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 DWYER RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234546921",
            "telephone_number": "757-615-3003",
            "fax_number": "757-243-1262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "629 Phoenix Dr",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527392",
            "country_code": "US",
            "telephone_number": "757-837-0761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLLE",
        "first_name": "SARAH",
        "middle_name": "ELYSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.