Sarah Lynn Carbullido, RN, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Suffolk, VA
NPI 1972108199 · NPPES record last updated Jul 8, 2022
Key facts
- NPI
- 1972108199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024182191 (VA)
- Practice address
- 5838 Harbour View Blvd Ste 240
Suffolk, VA 23435-2663 - Phone
- (757) 483-3030
- NPI assigned
- Dec 4, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bon Secours Medical Group Hampton Roads Specialty Care LLC
Practice addresses (Care Compare)
12720 McManus Blvd
Newport News, VA 23602-4414
Phone (757) 947-3170
150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673
3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222
5818 Harbour View Blvd
Suffolk, VA 23435-3315
5838 Harbour View Blvd
Suffolk, VA 23435-2663
828 Healthy Way
Suite 220B
Virginia Beach, VA 23462-7958
Phone (757) 483-3030
Hospital & facility affiliations
- Bon Secours Harbour View Medical Center
- Bon Secours Maryview Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220324000011 | VA | Practitioner - Nurse Practitioner | 6608261995 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024182191 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current |
Accepting new patients | |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current |
Accepting new patients |
Locations
155 Kingsley Ln
Ste 405
Norfolk, VA 23505
Phone (757) 278-2220
150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944
5838 Harbour View Blvd
Ste 240
Suffolk, VA 23435
Phone (757) 278-2220
828 Healthy Way
Ste 220B
Virginia Beach, VA 23462
Phone (757) 673-5860
Interoperability endpoints
- scarbullido1204505@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024182191 | VA | Yes |
Addresses
Primary practice location
5838 Harbour View Blvd Ste 240
Suffolk, VA 23435-2663
Mailing address
5838 Harbour View Blvd Ste 240
Suffolk, VA 23435-2663
Phone (757) 483-3030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001303209 | Other | VA | REGISTERED NURSE |
| 0024182191 | Other | VA | NURSE PRACTITIONER LICENSE |
Other providers in Suffolk, VA
- Jasmine N Campbell
- Can I Thrive LLC
- Canvas Counseling and Consulting LLC
- Capital Digestive Care ,LLC
- Capstone Behavioral Health Services, PLLC
- Cardiology Associates, P.C.
- Care Advantage, Inc.
- Caremove Transportation LLC
- Carewatch LLC
- Caring Hands Medical Transportation LLC
All providers in Suffolk, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.