Individual provider Active NPI

Lareine Stampfle Sabella, M.D.

  • Gynecology Physician
  • McLean, VA
National Provider Identifier
1992716211
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
01011027879 Issued in VA
Practice address
6707 Old Dominion Dr
Suite 300
McLean, VA 22101-4504
Phone
(703) 556-0776
Fax
(703) 556-0347
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 01011027879 VA Primary

Addresses

Primary practice location

6707 Old Dominion Dr
Suite 300
McLean, VA 22101-4504

Mailing address

6707 Old Dominion Dr
Suite 300
McLean, VA 22101-4504
Phone (703) 556-0776

Other identifiers 2

IdentifierTypeStateIssuer
60579OtherANTHEM
4089344OtherAETNA

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01011027879VAMDGynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1992716211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 OLD DOMINION DR",
            "address_2": "SUITE 300",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221014504",
            "telephone_number": "703-556-0776",
            "fax_number": "703-556-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 OLD DOMINION DR",
            "address_2": "SUITE 300",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221014504",
            "telephone_number": "703-556-0776",
            "fax_number": "703-556-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABELLA",
        "first_name": "LAREINE",
        "middle_name": "STAMPFLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "VA",
            "license": "01011027879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "60579",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4089344",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.