Healthcare Provider Details

I. General information

NPI: 1427983600
Provider Name (Legal Business Name): SARA ANDREA BASHAW AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6564 LOISDALE CT STE 205
SPRINGFIELD VA
22150-1812
US

IV. Provider business mailing address

1005 N GLEBE RD STE 500
ARLINGTON VA
22201-5702
US

V. Phone/Fax

Practice location:
  • Phone: 703-536-1666
  • Fax:
Mailing address:
  • Phone: 703-536-1666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: