Sara Abdullahi, NP
Individual provider Active NPI Family Nurse Practitioner · Reston, VA
NPI 1669137808 · NPPES record last updated Mar 17, 2022
Key facts
- NPI
- 1669137808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024182852 (VA)
- Practice address
- 1860 Town Center Dr
Reston, VA 20190-5896 - Phone
- (703) 738-9989
- NPI assigned
- Nov 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221129000563 | VA | Practitioner - Infectious Disease | 0042688897 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024182852 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Id Doctors LLC | Single Specialty | Current |
Accepting new patients |
Locations
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
1860 Town Center Dr
Ste 310
Reston, VA 20190
Phone (703) 435-0700
24430 Millstream Dr
Stone Ridge, VA 20105
Phone (703) 957-2000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GCJADD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 0024182852 | VA | Yes |
Addresses
Primary practice location
1860 Town Center Dr
Reston, VA 20190-5896
Mailing address
1860 Town Center Dr
Reston, VA 20190-5896
Phone (703) 738-9989
Other practice location 1
8524 General Way
Manassas Park, VA 20111-2431
Phone (571) 332-7278
Other providers in Reston, VA
- A Balanced Life Wellness Clinic and Apothecary, LLC
- Abad Group
- Hasan Abdallah
- Amal Zakaria Abdelhalim
- Abdi Mohamed Abdirahman
- Farah Zeshan Abdulsalam
- Edom Abebe
- Tarek Abou-Ghazala
- Dua Abu-Mahfouz
- Claude Abujrab-Saba
All providers in Reston, 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 17, 2022. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.