Individual provider Active NPI

Sarah Walker Maccubbin, PA-C

  • Medical Physician Assistant
  • Arlington, VA
National Provider Identifier
1962695403
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110002577 Issued in VA
Practice address
2445 Army Navy Dr
Arlington, VA 22206-2905
Phone
(703) 769-8431
Fax
(703) 769-8437
NPI assigned
Aug 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110002577 VA Primary

Addresses

Primary practice location

2445 Army Navy Dr
Arlington, VA 22206-2905

Mailing address

2445 Army Navy Dr
Arlington, VA 22206-2905
Phone (703) 769-8431

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)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Orthopaedics & Rehabilitation, PC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1962695403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 ARMY NAVY DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062905",
            "telephone_number": "703-769-8431",
            "fax_number": "703-769-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 ARMY NAVY DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062905",
            "telephone_number": "703-769-8431",
            "fax_number": "703-769-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCUBBIN",
        "first_name": "SARAH",
        "middle_name": "WALKER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-18",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110002577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.