Individual provider Active NPI

Sandra Carina Esteves, PA-C

  • Physician Assistant
  • Vienna, VA
National Provider Identifier
1811448327
Registry record updated Jan 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110005429 Issued in VA
Practice address
8605 Westwood Center Dr
Suite 201
Vienna, VA 22182-2240
Phone
(703) 712-8343
Fax
(703) 712-8344
NPI assigned
Oct 19, 2016
Last updated
Jan 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110005429 VA Primary

Addresses

Primary practice location

8605 Westwood Center Dr
Suite 201
Vienna, VA 22182-2240

Mailing address

8454 Great Lake LN
Springfield, VA 22153-4004
Phone (703) 508-4920

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
0110005429VAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485043200000",
    "number": "1811448327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8454 GREAT LAKE LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221534004",
            "telephone_number": "703-508-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8605 WESTWOOD CENTER DR",
            "address_2": "SUITE 201",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822240",
            "telephone_number": "703-712-8343",
            "fax_number": "703-712-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEVES",
        "first_name": "SANDRA",
        "middle_name": "CARINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2017-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2017; 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.