Individual provider Active NPI

Sarah Seiberling Fulton Horan, CPNP

  • Pediatric Nurse Practitioner
  • Glen Allen, VA
National Provider Identifier
1881106037
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024175375 Issued in VA
Practice address
4687 Pouncey Tract Rd
Glen Allen, VA 23059-5802
Phone
(434) 806-7734
NPI assigned
Oct 27, 2017
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024175375 VA Primary

Addresses

Primary practice location

4687 Pouncey Tract Rd
Glen Allen, VA 23059-5802

Mailing address

5854 Buffalo River Rd
Earlysville, VA 22936-1703
Phone (434) 806-7734

Other names 1

  • Sarah Seiberling Fulton Barr Former name

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
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024175375VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidmed Inc. Current Accepting new patients

Locations

4687 Pouncey Tract Rd
Glen Allen, VA 23059
Phone (804) 422-5437

Interoperability endpoints

  • Direct secure messaging: sarahhoran@kidmed.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1881106037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5854 BUFFALO RIVER RD",
            "city": "EARLYSVILLE",
            "state": "VA",
            "postal_code": "229361703",
            "telephone_number": "434-806-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4687 POUNCEY TRACT RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595802",
            "telephone_number": "434-806-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORAN",
        "first_name": "SARAH",
        "middle_name": "SEIBERLING FULTON",
        "name_prefix": "Miss",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-27",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024175375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BARR",
            "middle_name": "SEIBERLING FULTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.