SARAH SOUTHARD (NPI# 1417929704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417929704 |
| Entity Type | Individual |
| Full Name | SARAH SOUTHARD |
| Credential | NP |
| Practice Address |
102 Highland Ave Se Roanoke VA 24013-2254 |
| Mailing Address |
118 Par Dr Salem VA 24153-6811 |
| Practice Telephone | 5409859835 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2008-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 0001-078793 | VA | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0024078793 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 007781105 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497078299 | Sarah Chisholm Southard | Surgery | 22 Bramhall St, Portland, ME 04102-3175 | 2010-03-08 |
| 1750525218 | Sarah Southard | Day Training/Habilitation Specialist | 806 Glendale St, Jonesboro, AR 72401-4455 | 2009-04-28 |
| 1336334036 | Sarah Collins Southard | Counselor | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2007-09-06 |
| Street Address |
102 HIGHLAND AVE SE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24013-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880408 | Kurt Y. Chen | Specialist | 102 Highland Ave Se, Ste 104, Roanoke, VA 24013-2255 | 2005-06-09 |
| 1235383555 | Vanessa Lee Hedge | Nurse Practitioner | 102 Highland Ave Se, Suite 301, Roanoke, VA 24013-2256 | 2008-11-13 |
| 1790945319 | Christopher Andrew Rippel | Urology | 102 Highland Ave Se, Suite 105, Roanoke, VA 24013-2256 | 2008-06-17 |
| 1619167319 | John Scott Repass Sr. | Dentist | 102 Highland Ave Se, 301 Community Medical Bldg, Roanoke, VA 24013-2253 | 2007-07-29 |
| 1992904353 | Valley Ob/gyn, PC | Exclusive Provider Organization | 102 Highland Ave Se, Ste. 304, Roanoke, VA 24013-2256 | 2007-07-16 |
| 1609098219 | Emily Ann Evans-hoeker | Obstetrics & Gynecology | 102 Highland Ave Se, Suite 304, Roanoke, VA 24013-2256 | 2007-05-03 |
| 1992832703 | Lillian B Beahm | Audiologist | 102 Highland Ave Se, Roanoke, VA 24013-2256 | 2007-02-28 |
| 1275682098 | Debbie K Cline | Nurse Practitioner | 102 Highland Ave Se, Suite 303, Roanoke, VA 24013-2256 | 2007-01-10 |
| 1811065725 | Isaiah Micah Johnson | Obstetrics & Gynecology | 102 Highland Ave Se, Suite 303, Roanoke, VA 24013-2256 | 2006-11-30 |
| 1598848848 | Head Adn Neck Medicine and Surgery | Specialist | 102 Highland Ave Se, Suite 104, Roanoke, VA 24013-2256 | 2006-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114091485 | Amy Barker | Registered Nurse | 102 Highland Ave Se Ste 203, Roanoke, VA 24013 | 2006-11-20 |
| 1992888432 | Valley Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 1212 Campbell Ave Se, Roanoke, VA 24013 | 2006-10-20 |
| 1245325786 | Travis Pg Barham | Dentist | 101 Elm Ave, Roanoke, VA 24013 | 2006-10-03 |
| 1801251806 | Emily Lawson Bennett | Nurse Practitioner | 101 Elm Ave Se, Roanoke, VA 24013 | 2015-12-18 |
| 1629455936 | Mebratu Daba | Pediatrics | 102 Highland Ave Se Ste 104, Roanoke, VA 24013 | 2015-05-06 |
| 1720475296 | Hussein Elmufti | Pediatrics | 102 Highland Ave Se Ste 455, Roanoke, VA 24013 | 2015-04-22 |
| 1861467847 | Kilian H. Brech II | Pediatrics | 21 Highland Ave Se Ste 100, Roanoke, VA 24013 | 2006-02-22 |
| 1114545928 | Raven Matthews | Emergency Medicine | 213 18th St Se, Roanoke, VA 24013-1311 | 2020-07-08 |
| 1356557102 | Sandra Elaine Sayre | Nurse Practitioner | 402 4th St Se, Roanoke, VA 24013-1404 | 2007-05-15 |
| 1982041000 | Family Preservation Services, Inc. | Community/Behavioral Health | 825 Stewart Ave Se, Roanoke, VA 24013-1443 | 2013-05-30 |
| Find all providers in zip 24013 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861783946 | Ryleigh Rebecca Young Smith | Nurse Practitioner | 102 Highland Ave Se Ste 104, Roanoke, VA 24013-2255 | 2011-04-25 |
| 1992868657 | Pamela Ann Ruppel | Nurse Practitioner | 4800 Pleasant Hill Dr Ste 102, Roanoke, VA 24018-3406 | 2006-12-17 |
| 1285709956 | Carol A Huffman | Nurse Practitioner | 1201 3rd St Sw, Roanoke, VA 24016-4611 | 2006-11-21 |
| 1063433357 | Rebekah S Slocum | Nurse Practitioner | 1101 1st St Sw, Roanoke, VA 24016-4701 | 2006-07-21 |
| 1033751383 | Hannah B Smith | Nurse Practitioner | 1030 S Jefferson St Ste 106, Roanoke, VA 24016-4418 | 2019-10-08 |
| 1932665544 | Amy Marshall | Nurse Practitioner | 3 Riverside Cir, Roanoke, VA 24016 | 2019-02-19 |
| 1265921274 | Katherine Martin Shelor | Nurse Practitioner | 102 Highland Ave Se Ste 104, Roanoke, VA 24013-2255 | 2018-05-04 |
| 1649722562 | Mary Riley | Nurse Practitioner | 1030 S Jefferson St Ste 201, Roanoke, VA 24016-4418 | 2016-10-26 |
| 1093262164 | Whitney Wilkes | Nurse Practitioner | 102 Highland Ave Se Ste 404, Roanoke, VA 24013-2232 | 2016-09-07 |
| 1144560830 | Sarah F Shepherd | Nurse Practitioner | 1030 S Jefferson St Ste 201, Roanoke, VA 24016-4418 | 2013-02-18 |
| Find all providers in ROANOKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.