Individual provider Active NPI

Sara Covall, NP-C

  • Family Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1922408970
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024172002 Issued in VA
Practice address
4701 Sangamore Rd Ste S207
Bethesda, MD 20816-2529
Phone
(202) 684-7167
NPI assigned
Aug 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024172002 VA Primary
Family Nurse Practitioner 363LF0000X AC005384 MD

Addresses

Primary practice location

4701 Sangamore Rd Ste S207
Bethesda, MD 20816-2529

Mailing address

5220 Concordia St
Fairfax, VA 22032-3408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20260505003885 DC Practitioner - Nurse Practitioner 8820219512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Virginia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kelly Goodman, NP and Associates PCGroup PAC ID 0042344988, 5 clinicians

Practice addresses (Care Compare)

4701 Sangamore Rd
Suite S207
Bethesda, MD 20816-2529
Phone (202) 684-7167

Hospital & facility affiliations

  • Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AC005384MDMDFamily Nurse Practitioner
0024172002VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Goodman NP & Associates PC Family Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sara.covall.1@8769.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1922408970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 CONCORDIA ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220323408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SANGAMORE RD STE S207",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162529",
            "telephone_number": "202-684-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVALL",
        "first_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172002",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC005384",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.