Individual provider Active NPI

Sara T. Didio, CPNP

  • Pediatric Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1972856862
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0017001283 Issued in VA
Practice address
11601 Robious Rd
Suite 100
Midlothian, VA 23113-5605
Phone
(804) 379-9494
Fax
(804) 379-3702
NPI assigned
Oct 17, 2012
Last updated
Oct 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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 0017001283 VA Primary

Addresses

Primary practice location

11601 Robious Rd
Suite 100
Midlothian, VA 23113-5605

Mailing address

11601 Robious Rd
Suite 100
Midlothian, VA 23113-5605
Phone (804) 379-9494

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
0017001283VAMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: saradidio@cppc.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1972856862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 ROBIOUS RD",
            "address_2": "SUITE 100",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231135605",
            "telephone_number": "804-379-9494",
            "fax_number": "804-379-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 ROBIOUS RD",
            "address_2": "SUITE 100",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231135605",
            "telephone_number": "804-379-9494",
            "fax_number": "804-379-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDIO",
        "first_name": "SARA",
        "middle_name": "T.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0017001283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.