Organization Active NPI

Sierra Springs Integrated Care PLLC

  • Nurse Practitioner
  • Lorton, VA
National Provider Identifier
1730019753
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
SIERRA SPRINGS INTEGRATED CARE PLLC
Practice address
9200 Wildwood St.
Lorton, VA 22079
Phone
(703) 863-4656
NPI assigned
May 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Bintou Kaba-Henderson, NPNPI 1407415938
Title
Owner
Phone
(703) 863-4656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

9200 Wildwood St.
Lorton, VA 22079

Mailing address

9200 Wildwood St
Lorton, VA 22079-1818
Phone (703) 863-4656

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1730019753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 WILDWOOD ST",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791818",
            "telephone_number": "703-863-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 WILDWOOD ST.",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "22079",
            "telephone_number": "703-863-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA SPRINGS INTEGRATED CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "KABA-HENDERSON",
        "authorized_official_first_name": "BINTOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-863-4656",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.