Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sara Deatherage, FNP-C

Individual provider Registered Nurse · NPI 1104374693

Sara Deatherage, FNP-C is a Nurse Practitioner in Virginia Beach, Virginia. Qualified in 2016, 10 years ago. Practices with Vpa PC, a 182-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Virginia.

Years since qualifying
10
Licensed in
CA, VA
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

236 Clearfield Ave Ste 215
Virginia Beach, VA 23462-1893
Phone: (757) 853-1380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 940 General Booth Blvd, Virginia Beach, VA 23451-4861 — (757) 425-3610

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024177684 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 819106 (CA)

Record details

NPI number1104374693
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 14, 2016
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Vpa Pc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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