Pamela Sue Sabella, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024176746 Issued in VA

Practice address

Loudoun Free Clinic
224A Cornwall Street, NW
Leesburg, VA 20176

Phone

(703) 779-5416

Fax

(703) 779-5407

NPI assigned

Jan 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pamela.sabella.1@12538.direct.athenahealth.com

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.

• St. Joseph's Hospital, Inc.

  • Primary Care Clinic/Center
  • St Petersburg, FL
  • NPI 1710036868
  Medicare reassignment NPD
• St. Joseph's Hospital, Inc.

  • Primary Care Clinic/Center
  • Tampa, FL
  • NPI 1992854038
  Medicare reassignment NPD
• St Joseph's Hospital Inc

  dba Chronic Complex Clinic

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1740901578
  NPD

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1841436243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12917 OAK LAWN PL",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712260",
            "telephone_number": "631-921-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOUDOUN FREE CLINIC",
            "address_2": "224A CORNWALL STREET, NW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20176",
            "telephone_number": "703-779-5416",
            "fax_number": "703-779-5407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 N. Habana Ave.",
            "address_2": "suite 15",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336147123",
            "country_code": "US",
            "telephone_number": "813-870-4460",
            "fax_number": "813-870-4459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABELLA",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9275045",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F302615",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024176746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "F302615",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT NURSE PRACTITIONER LICENSE",
            "identifier": "9275045",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001366000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "9275045",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE TO PRESCRIBE",
            "identifier": "0017145343",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED NURSE PRACTITIONER",
            "identifier": "0024176746",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rxally Administrative Services
• Ryan C. Mayo, D.D.S & Gregory C. Mayo D.D.S., P.C.
• Darlene Ann Saar, PAC
• Joy Ann Saari, CFNP
• Fernando Saavedra
• Charu Sabharwal, MD
• Ibrahim M Saeed, M.D.
• Safeway Express Transportation LLC
• Sageforth Psychological Services, LLC
• Gulrukh Saleem, M.D.

• Adult Health Nurse Practitioner in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.